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SAMPLE SUPPORTS, LLC
NPI 1326610213
Day Training/Habilitation Specialist in Longmont, CO

Active since July 12, 2021
620 KIMBARK ST, LONGMONT, CO 80501(720) 684-6102 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, 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 1326610213) is a healthcare organization registered as a day training/habilitation specialist in Longmont, Colorado and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Longmont and lists Carmen Louise Sample, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326610213
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameSAMPLE SUPPORTS, LLC
Location Address620 KIMBARK STLongmont, CO 80501-4911
Mailing Address620 Kimbark StLongmont, CO 80501-4911 · (720) 684-6102
Phone(720) 684-6102
Organization SubpartNo
Authorized OfficialCarmen Louise SampleCeo · (303) 523-8057
Enumeration DateJuly 12, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1326610213 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.
620 KIMBARK ST, Longmont, CO 80501
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Secondary Practice Location 1

Location 1309 Atwood StLongmont, CO 80501-5514 · Phone (720) 684-6102

Other Identifiers 1

Medicaid40078256CO

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 5

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

MS. YOLANDA RENAE' BROWN NP
Nurse Practitioner (Family)
620 KIMBARK ST
LONGMONT, CO 80501
Boulder County (480) 275-9060
MURPHY MCCRACKEN LPC
Counselor (Professional)
620 KIMBARK ST
LONGMONT, CO 80501
Boulder County (720) 248-8435
KOENA LLC
Family Medicine
620 KIMBARK ST
LONGMONT, CO 80501
Boulder County (303) 834-8376
LYNDSEY RENEE CORDOVA LAC
Acupuncturist
620 KIMBARK ST
LONGMONT, CO 80501
Boulder County (303) 834-8376
BRIANNA KURT-HURST MA, LPC, NCC, ADDC
Counselor (Mental Health)
620 KIMBARK ST
LONGMONT, CO 80501
Boulder County (907) 321-4831

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 1326610213. 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 620 Kimbark St, Longmont, CO 80501. 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 August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.