Organization
SSC COLONIAL COLUMNS CS OPERATING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY STEPHEN SHINN LNHA (ADMINISTRATOR)
(719) 473-1105
Entity
Organization
Contact information
Practice address
1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
(719) 473-1105
(719) 473-0495
Mailing address
1340 E FILLMORE ST, COLORADO SPRINGS, CO 80907-6433
(719) 473-1105
(719) 473-0495
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
0427
CO
314000000X
Skilled Nursing Facility
0427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05654793
—
CO
Enumeration date
07/07/2005
Last updated
09/11/2025
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