Sample Supports
LBN: Sample Supports
Sample Supports is an health care organization with primary practice located at 606 Mountain View Ave , Longmont CO 80501-2779. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Agencies / Community/Behavioral Health is the primary health care specialty.
Sample Supports can be contacted via phone (720) 684-6102, or through Sample, Carmen via phone (720) 684-6102.
Contact Information
Primary practice address
606 Mountain View Ave
Longmont CO 80501-2779
Phone: (720) 684-6102
Fax: (303) 261-8216
Website:
Authorized official contact:
Name: Sample, Carmen Licensed Clinical Social Worker (LCSW)
Phone: (720) 684-6102
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
| NPI number | 1649577453 |
|---|---|
| LBN Legal business name | Sample Supports |
| DBA Doing business as | |
| Authorized official | Sample, Carmen Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2011 |
| Last updated | Jan 31st, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649577453 | NPPES |
| Colorado | MEDICAID | 40078256 |
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