MEDICARE: HOMEWARD PIKES PEAK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184441230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMEWARD PIKES PEAK

Provider Business Mailing Address
First Line	:	3745 MARION DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-3600
Country	:	US
Telephone Number	:	719-466-3479
Fax Number	:

Provider Business Practice Location Address
First Line	:	3745 MARION DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-3600
Country	:	US
Telephone Number	:	719-466-3479
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF HOUSING PROGRAMS
Name	:	HEATHER RYAN-FIGUEROA
Credential	:
Telephone Number	:	719-473-5557

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

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