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 |