Healthcare Provider Details

I. General information

NPI: 1548890601
Provider Name (Legal Business Name): ADULT COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2020
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5390 N ACADEMY BLVD STE 200
COLORADO SPRINGS CO
80918-4064
US

IV. Provider business mailing address

5390 N ACADEMY BLVD STE 200
COLORADO SPRINGS CO
80918-4064
US

V. Phone/Fax

Practice location:
  • Phone: 719-428-6100
  • Fax: 719-374-5907
Mailing address:
  • Phone: 719-428-6100
  • Fax: 719-374-5907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE TALBOTT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 719-425-9133