Provider Demographics
| NPI: | 1932674306 |
|---|---|
| Name: | OUR HOUSE INC. |
| Entity type: | Organization |
| Organization Name: | OUR HOUSE INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | CAROL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | FISCHER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 719-477-0109 |
| Mailing Address - Street 1: | 1609 S WAHSATCH AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLORADO SPRINGS |
| Mailing Address - State: | CO |
| Mailing Address - Zip Code: | 80905-2339 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 719-271-0676 |
| Mailing Address - Fax: | 719-477-0119 |
| Practice Address - Street 1: | 4223 S MASON ST UNIT C |
| Practice Address - Street 2: | |
| Practice Address - City: | FORT COLLINS |
| Practice Address - State: | CO |
| Practice Address - Zip Code: | 80525-3048 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 970-459-0735 |
| Practice Address - Fax: | 719-477-0119 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | OUR HOUSE INCORPORATED |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2018-10-11 |
| Last Update Date: | 2021-10-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 385H00000X | Respite Care Facility | Respite Care |