Healthcare Provider Details

I. General information

NPI: 1518819200
Provider Name (Legal Business Name): STORY RANCH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4005 WALKER RIDGE VW
COLORADO SPRINGS CO
80908-2347
US

IV. Provider business mailing address

4005 WALKER RIDGE VW
COLORADO SPRINGS CO
80908-2347
US

V. Phone/Fax

Practice location:
  • Phone: 719-209-3550
  • Fax:
Mailing address:
  • Phone: 719-209-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERICA JONES
Title or Position: CONSULTANT
Credential:
Phone: 970-213-6757