OrganizationActive
C-C Boarding Home
NPI 1093917098 · Assisted Living Facility (Mental Illness) · Colorado Springs, CO
Provider details
- NPI number
- 1093917098
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ramon Castillo, Treasurer(719) 635-7159
- License
- AL-0012 (CO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
412 S Hancock Ave
Colorado Springs, CO 80903-3700
Phone: (719) 635-7159
Fax: (719) 392-5723
Approximate (ZIP-level) locationGet directions
Mailing address
412 S Hancock Ave
Colorado Springs, CO 80903-3700
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.