Provider Demographics
NPI:1356700603
Name:SOLANGE AT APPLE TREE ASSISTED LIVING, INC
Entity type:Organization
Organization Name:SOLANGE AT APPLE TREE ASSISTED LIVING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AIME
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:719-231-2152
Mailing Address - Street 1:1900 E PIKES PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-5850
Mailing Address - Country:US
Mailing Address - Phone:719-282-1155
Mailing Address - Fax:719-392-1189
Practice Address - Street 1:1145 BROCKDELL DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80911-3547
Practice Address - Country:US
Practice Address - Phone:719-282-1155
Practice Address - Fax:719-392-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2305I0310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO26270251Medicaid