Crestview
LBN: Parent Care Life Inc.
Crestview is an health care organization with primary practice located at 1410 E Buena Ventura St , Colorado Springs CO 80909-2825. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty.
Parent Care Life Inc. can be contacted via phone (719) 473-6339, or through Simpson, Ricky Lee via phone (719) 473-6339.
Contact Information
Primary practice address
1410 E Buena Ventura St
Colorado Springs CO 80909-2825
Phone: (719) 473-6339
Fax: (719) 488-9301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | AL-0310 | Colorado |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | AL-0311 | Colorado |
Profile Details
| NPI number | 1790904092 |
|---|---|
| LBN Legal business name | Parent Care Life Inc. |
| DBA Doing business as | Crestview |
| Authorized official | Simpson, Ricky Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790904092 | NPPES |
| Colorado | MEDICAID | 47256362 | |
| Colorado | MEDICAID | 24301272 |
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