PARENT CARE LIFE INC.
Adult Care Home
Colorado Springs, Colorado
Provider NPI: 1790904092
Organization Information:Organization Name: PARENT CARE LIFE INC.
Practice Location:
1410 E BUENA VENTURA ST COLORADO SPRINGS, CO 80909 US
Tel: 719-473-6339 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1410 E BUENA VENTURA ST COLORADO SPRINGS, CO 80909 US
Tel: 719-473-6339 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | CO | AL-0311 |
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility | CO | AL-0310 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
47256362 | CO | 05 | |
24301272 | CO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin