RESIDENCE AT VILLAGE GREEN LLC NPI 1790189785

NPI Information

RESIDENCE AT VILLAGE GREEN, LLC is an assisted living facility in Colorado Springs, CO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RESIDENCE AT VILLAGE GREEN, LLC NPI is 1790189785. The provider is registered as an organization entity type.
The provider Is Doing Business As Residence At Village Green.

The provider's business location address is:

3455 N. CAREFREE CIRCLE
COLORADO SPRINGS, CO
ZIP 80917-809
Phone: (719) 999-5744
Fax: (719) 999-5721

The provider's authorized official is Robert J Matrazzo .
The authorized official title is Chief Operating Officer and has the following contact phone number (305) 444-5007.

The CLIA number assigned to this NPI record is 06D2228349 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 10/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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