PARENT CARE LIFE INC DBA CRESTVIEW
NPI 1104357318
Assisted Living Facility in Colorado Springs, CO

Active since March 21, 2017
1409 E BUENA VENTURA ST, COLORADO SPRINGS, CO 80909(719) 473-6339(719) 448-9301 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2022, Aug 15, 2022, Mar 21, 2017 (3 updates tracked since 2017).

  • Organization
  • Assisted Living Facility

About PARENT CARE LIFE INC DBA CRESTVIEW

This page provides the complete NPI Profile along with additional information for Parent Care Life Inc Dba Crestview, a provider established in Colorado Springs, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104357318 assigned on March 2017. The practitioner's primary taxonomy code is 310400000X with license number 23F100 (CO). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Ricky Lee Simpson (Adminstrator)

NPI
1104357318 Verify this NPI
Provider Name
PARENT CARE LIFE INC DBA CRESTVIEW
Entity Type
Organization
Location Address
1409 E BUENA VENTURA ST COLORADO SPRINGS, CO 80909
Location Phone
(719) 473-6339
Location Fax
(719) 448-9301
Mailing Address
1414 N HANCOCK AVE COLORADO SPRINGS, CO 80903
Mailing Phone
(719) 473-6339
Mailing Fax
(719) 448-9301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2017
Last Update Date
08-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
23F100
License State
CO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RICKY LEE SIMPSON

Authorized Official Title
ADMINSTRATOR
Authorized Official Phone
(719) 473-6339

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
9000143722OTHER (01)COHCPF PROVIDER ID

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104357318, enumerated as an "organization" on March 21, 2017.

The provider is located at 1409 E BUENA VENTURA ST COLORADO SPRINGS, CO 80909 and the phone number is (719) 473-6339.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.