# SSC COLONIAL COLUMNS CS OPERATING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699772533
- **Authorized official:** MR. GREGORY STEPHEN SHINN LNHA (ADMINISTRATOR)
- **Authorized official phone:** (719) 473-1105

## Contact information

- **Practice address:** 1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
- **Practice address phone:** (719) 473-1105
- **Practice address fax:** (719) 473-0495
- **Mailing address:** 1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
- **Mailing address phone:** (719) 473-1105
- **Mailing address fax:** (719) 473-0495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 0427 | CO | Yes |
| 314000000X | Skilled Nursing Facility | 0427 | CO | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 09/11/2025