MEDICARE: NICOLL HOLDINGS, LLC

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1871078907
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICOLL HOLDINGS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 61085
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80960-1085
Country	:	US
Telephone Number	:	719-380-7381
Fax Number	:	719-487-9530

Provider Business Practice Location Address
First Line	:	2204 OAKRIDGE LN
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-1017
Country	:	US
Telephone Number	:	719-380-7391
Fax Number	:	719-487-9530

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. DOUGLAS WILLIAM NICOLL
Credential	:
Telephone Number	:	719-380-7381

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	09/25/2018

Similar Medicare Providers

1669291894 — PEER COACH ACADEMY COLORADO
Practice Location Address:

2204 OAKRIDGE LN
COLORADO SPRINGS, CO
80915-1017

Practice Phone: 800-604-8978
Practice Fax:

1235091570 — PEER COACH ACADEMY COLORADO
Practice Location Address:

2204 OAKRIDGE LN
COLORADO SPRINGS, CO
80915-1017

Practice Phone: 720-435-5320
Practice Fax:

1174997258 — MRS. ELISABETH KELLER
Practice Location Address:

7942 MARTINWOOD PL
COLORADO SPRINGS, CO
80908-1017

Practice Phone: 719-351-6110
Practice Fax:

1336884147 — MRS. MEREDITH RACHEL LEIGH KUCYK LSW, MSW, ADDC
Practice Location Address:

2802 COUNTRY CLUB CIR
COLORADO SPRINGS, CO
80909-1017

Practice Phone: 720-237-7240
Practice Fax:

1548100381 — LUZ LEON
Practice Location Address:

1017 ZODIAC DR
COLORADO SPRINGS, CO
80905-7664

Practice Phone: 719-645-2838
Practice Fax:

1619961125 — DR. DENNIS ROY WARD M.D.
Practice Location Address:

201 MAITLAND AVE , SUITE 1017
ALTAMONTE SPRINGS, FL
32701-4903

Practice Phone: 407-831-4454
Practice Fax: 407-831-4559

Directions to “NICOLL HOLDINGS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.