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SAMPLE SUPPORTS, LLC
NPI 1255903142
Day Training/Habilitation Specialist in Fort Collins, CO

Active since July 12, 2021
1236 E ELIZABETH ST, FORT COLLINS, CO 80524(720) 684-6102 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jul 12, 2021 (2 updates tracked since 2021).

About Sample Supports, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMPLE SUPPORTS, LLC (NPI 1255903142) is a healthcare organization registered as a day training/habilitation specialist in Fort Collins, Colorado and active in the NPI registry since July 2021. The organization lists Carmen Louise Sample, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255903142
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameSAMPLE SUPPORTS, LLC
Location Address1236 E ELIZABETH STFort Collins, CO 80524-4000
Mailing Address606 Mountain View AveLongmont, CO 80501-2779 · (720) 684-6102
Phone(720) 684-6102
Organization SubpartNo
Authorized OfficialCarmen Louise SampleCeo · (303) 523-8057
Enumeration DateJuly 12, 2021
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1255903142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1236 E ELIZABETH ST, Fort Collins, CO 80524
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Other Identifiers 1

Medicaid9000201419CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN K. PETERSON CRNA
Nurse Anesthetist, Certified Registered
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
DR. RICHARD F BINDSEIL D.O.
Anesthesiology
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
ALANA TUTT CRNA
Nurse Anesthetist, Certified Registered
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
MR. WILSON H. WESSELLS JR. CRNA
Nurse Anesthetist, Certified Registered
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
DR. DUANE L. DUNN M.D.
Anesthesiology
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
MR. RICHARD CHRISTOPHER ELMORE C.R.N.A.
Nurse Anesthetist, Certified Registered
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
DR. DWAIN DONAVAN WATROUS M.D.
Anesthesiology
1236 E ELIZABETH ST, SUITE 1
FORT COLLINS, CO 80524
Larimer County (970) 224-2985
DR. JOHN CARTER BRADLEY MD
Anesthesiology
1236 E ELIZABETH ST, SUITE 2
FORT COLLINS, CO 80524
Larimer County (970) 488-1668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sample Supports, LLC's NPI number?

The NPI number for Sample Supports, LLC is 1255903142. It was assigned to this organization in the NPPES registry on July 12, 2021.

Where is Sample Supports, LLC located?

Sample Supports, LLC is located at 1236 E Elizabeth St, Fort Collins, CO 80524. The listed phone number is (720) 684-6102.

What is Sample Supports, LLC's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Sample Supports, LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.