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Contact Information

SSC COLONIAL COLUMNS CS OPERATING LLC
1340 E FILLMORE ST
COLORADO SPRINGS, CO80907-6433
 Phone: 719-473-1105
 Fax: 719-473-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for SSC COLONIAL COLUMNS CS OPERATING LLC

NPI Number 1699772533
LBN Legal business name SSC COLONIAL COLUMNS CS OPERATING LLC
Authorized official GREGORY SHINN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
CO License # 0427
CO Medicaid 05654793
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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