RESIDENCE AT VILLAGE GREEN
NPI 1790189785
Assisted Living Facility in Colorado Springs, CO

Q: What is Residence At Village Green, LLC's NPI number?

The NPI number for Residence At Village Green, LLC is 1790189785. It was assigned to this organization in the NPPES registry on October 20, 2014. The provider is doing business as Residence At Village Green.

Q: What is Residence At Village Green, LLC's specialty?

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

Active since October 20, 2014CLIA 06D2228349 · Waiver

3455 N. CAREFREE CIRCLE, COLORADO SPRINGS, CO 80917(719) 999-5744(719) 999-5721 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Residence At Village Green NPPES

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

RESIDENCE AT VILLAGE GREEN (NPI 1790189785) is a healthcare organization registered as an assisted living facility in Colorado Springs, Colorado and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Robert J Matrazzo, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790189785

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameRESIDENCE AT VILLAGE GREEN, LLC

Location Address3455 N. CAREFREE CIRCLEColorado Springs, CO 80917-2809

Mailing Address3455 N. Carefree CircleColorado Springs, CO 80917-2807 · (719) 999-5744 · Fax (719) 999-5721

Phone(719) 999-5744

Fax(719) 999-5721

Organization SubpartNo

Authorized OfficialRobert J MatrazzoChief Operating Officer · (305) 444-5007

Enumeration DateOctober 20, 2014

✔ NPI 1790189785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

3455 N. CAREFREE CIRCLE, Colorado Springs, CO 80917

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Other Names 1

Doing Business AsResidence At Village Green

CLIA Laboratory Certificates CMS CLIA

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 06D2228349

Residence At Village Green, The · Colorado Springs, CO

Active · expires Jun 24, 2027

CLIA Number06D2228349

Laboratory TypeAssisted Living Facility

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorKrystal M. Deloria

Laboratory Phone(719) 999-5744

Laboratory LocationResidence At Village Green, The3455 N Carefree Circle, Colorado Springs, CO 80917

CLIA data matches this NPI record on: Address Name Phone

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 Residence At Village Green, LLC's NPI number?

The NPI number for Residence At Village Green, LLC is 1790189785. It was assigned to this organization in the NPPES registry on October 20, 2014. The provider is doing business as Residence At Village Green.

Where is Residence At Village Green, LLC located?

Residence At Village Green, LLC is located at 3455 N. Carefree Circle, Colorado Springs, CO 80917. The listed phone number is (719) 999-5744.

What is Residence At Village Green, LLC's specialty?

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

Does Residence At Village Green, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2228349) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Residence At Village Green, LLC was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.