THE MARY SANDOE HOUSE, INC
NPI 1104368000
Assisted Living Facility in Boulder, CO
- Organization
- Assisted Living Facility
About THE MARY SANDOE HOUSE, INC
This page provides the complete NPI Profile along with additional information for The Mary Sandoe House, Inc, a provider established in Boulder, Colorado operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1104368000 assigned on November 2016. The practitioner's primary taxonomy code is 310400000X with license number 230354 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Miss Dorothy Marie Longobardi (Director)
- NPI
- 1104368000 Verify this NPI
- Provider Name
- THE MARY SANDOE HOUSE, INC
- Entity Type
- Organization
- Location Address
- 1244 GILLASPIE DR 1242 GILLASPIE DRIVE BOULDER, CO 80305
- Location Phone
- (303) 494-7317
- Location Fax
- (303) 494-0653
- Mailing Address
- 1244 GILLASPIE DR 1242 GILLASPIE DRIVE BOULDER, CO 80305
- Mailing Phone
- (303) 494-7317
- Mailing Fax
- (303) 494-0653
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2016
- Last Update Date
- 11-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 230354
- License State
- CO
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 04181251 | MEDICAID (05) | CO |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104368000, enumerated as an "organization" on November 08, 2016.
The provider is located at 1244 GILLASPIE DR 1242 GILLASPIE DRIVE BOULDER, CO 80305 and the phone number is (303) 494-7317.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
