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PARENT CARE LIFE INC. NPI 1790904092


NPI Information

NPI: 1790904092
Provider Name: PARENT CARE LIFE INC.

Doing Business As: CRESTVIEW

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1410 E BUENA VENTURA ST
COLORADO SPRINGS, CO
ZIP 80909
Phone: (719) 473-6339
Get Directions

PARENT CARE LIFE INC. is an adult care home custodial care facility in Colorado Springs, CO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PARENT CARE LIFE INC. NPI is 1790904092. The provider is registered as an organization entity type.
The provider Is Doing Business As Crestview.

The provider's business location address is:

1410 E BUENA VENTURA ST
COLORADO SPRINGS, CO
ZIP 80909-825
Phone: (719) 473-6339
Fax: (719) 488-9301

The provider's authorized official is Ricky Lee Simpson .
The authorized official title is Owner and has the following contact phone number (719) 473-6339.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAL-0311COLORADONo
2311ZA0620XCustodial Care FacilityAdult Care HomeAL-0310COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147256362MEDICAIDCOLORADO
224301272MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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