Healthcare Provider Details

I. General information

NPI: 1235061078
Provider Name (Legal Business Name): ENSEQUENCE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 VERDE DR
COLORADO SPRINGS CO
80910
US

IV. Provider business mailing address

PO BOX 371374
DENVER CO
80237-5374
US

V. Phone/Fax

Practice location:
  • Phone: 720-910-8215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER JOHNSON
Title or Position: MEMBER
Credential:
Phone: 720-910-8215