Provider Demographics
NPI:1386942597
Name:INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC
Entity type:Organization
Organization Name:INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RINGLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-632-9900
Mailing Address - Street 1:1901 N UNION BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-2283
Mailing Address - Country:US
Mailing Address - Phone:719-314-4868
Mailing Address - Fax:719-314-4868
Practice Address - Street 1:1901 N UNION BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-2283
Practice Address - Country:US
Practice Address - Phone:719-314-4868
Practice Address - Fax:719-632-2470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based