MEDICARE: PEER COACH ACADEMY COLORADO

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	3104A0625X	Assisted Living Facility (Mental Illness)

General Provider Information

NPI Number	:	1235091570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEER COACH ACADEMY COLORADO

Provider Business Mailing Address
First Line	:	2204 OAKRIDGE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1017
Country	:	US
Telephone Number	:	720-435-5320
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 OAKRIDGE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1017
Country	:	US
Telephone Number	:	720-435-5320
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ROD RUSHING
Credential	:	CAS
Telephone Number	:	720-435-5320

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “PEER COACH ACADEMY COLORADO ” Practice Location

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