Sample Supports, Llc

LBN: Sample Supports, Llc
Sample Supports, Llc is an health care organization with primary practice located at 380 Main St Ste 200 , Longmont CO 80501-5554. The organization recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as the primary health care specialty. Sample Supports, Llc can be contacted via phone (720) 684-6102, or through Sample, Carmen Louise via phone (303) 523-8057.

Contact Information

Primary practice address
380 Main St Ste 200 Longmont CO 80501-5554
Phone: (720) 684-6102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sample, Carmen Louise
Phone: (303) 523-8057

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1841964608
LBN Legal business name Sample Supports, Llc
DBA Doing business as
Authorized official Sample, Carmen Louise
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2021
Last updated Aug 5th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841964608 NPPES
Colorado MEDICAID 40078256

Popular Providers