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PRAIRIE PINES ASSISTED LIVING COMMUNITY
NPI 1114068442
Assisted Living Facility in Eads, CO

Active since February 09, 2007CLIA Certified · 2 labs
101 E LOWELL AVENUE, EADS, CO 81036(719) 438-2141(719) 438-2140 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prairie Pines Assisted Living Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE PINES ASSISTED LIVING COMMUNITY (NPI 1114068442) is a healthcare organization registered as an assisted living facility in Eads, Colorado and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Pamela Sue Weirich, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114068442
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKIOWA COUNTY
Location Address101 E LOWELL AVENUEEads, CO 81036-0787
Mailing AddressBox 787, 101 E Lowell AvenueEads, CO 81036-0787 · (719) 438-2141 · Fax (719) 438-2140
Phone(719) 438-2141
Fax(719) 438-2140
Organization SubpartNo
Authorized OfficialPamela Sue WeirichAdministrator · (719) 438-2141
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114068442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CO · AL0992
Definition
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.
101 E LOWELL AVENUE, Eads, CO 81036
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Other Names 1

Doing Business AsPrairie Pines Assisted Living Community

Other Identifiers 1

Medicaid28621786CO

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2207037

Prairie Pines Assisted Living · Eads, CO
Active · expires Dec 22, 2026
CLIA Number06D2207037
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorBrandy J. Turcotte
Laboratory Phone(719) 438-2141
Laboratory LocationPrairie Pines Assisted Living101 East Lowell St, Eads, CO 81036
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D1032012

Kiowa County Ambulance Service · Eads, CO
Active · expires Oct 13, 2026
CLIA Number06D1032012
Laboratory TypeAmbulance
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorLionel R. Wilson
Laboratory Phone(719) 438-5401
Laboratory LocationKiowa County Ambulance Service206 W 12th Street, Eads, CO 81036
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiowa County's NPI number?

The NPI number for Kiowa County is 1114068442. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Prairie Pines Assisted Living Community.

Where is Kiowa County located?

Kiowa County is located at 101 E Lowell Avenue, Eads, CO 81036. The listed phone number is (719) 438-2141.

What is Kiowa County's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Kiowa County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Kiowa County was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.