THE LEGACY AT TRINIDAD
NPI 1477927440
Assisted Living Facility in Trinidad, CO

Active since November 13, 2015CLIA 06D2231963 · Waiver
33 LEGACY LN, TRINIDAD, CO 81082(719) 846-8662 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Legacy At Trinidad NPPES

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

THE LEGACY AT TRINIDAD (NPI 1477927440) is a healthcare organization registered as an assisted living facility in Trinidad, Colorado and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through August 8, 2027 and lists David B Beardsley, President, as its authorized official.

NPPES Registry Identity

NPI1477927440
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTRINIDAD ASSISTED LIVING, LLC
Location Address33 LEGACY LNTrinidad, CO 81082-9300
Mailing AddressPo Box 23Kingsville, MO 64061-0023 · (423) 596-0169
Organization SubpartNo
Authorized OfficialDavid B BeardsleyPresident · (423) 596-0169
Enumeration DateNovember 13, 2015
NPI 1477927440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in CO · 23Z790
Definition

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.

33 LEGACY LN, Trinidad, CO 81082

Other Names 1

Doing Business AsThe Legacy At Trinidad

Other Identifiers 2

Medicaid48738336CO
Other23Z790CO · Colorado Department Of Public Health & Environment

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2231963

Trinidad Assisted Living - The Legacy At Trinidad · Trinidad, CO
Active · expires Aug 8, 2027
CLIA Number06D2231963
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorGeorgette N. Santistevan
Laboratory Phone(719) 846-8662
Laboratory LocationTrinidad Assisted Living - The Legacy At Trinidad33 Legacy Lane, Trinidad, CO 81082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Trinidad Assisted Living, LLC's NPI number?

The NPI number for Trinidad Assisted Living, LLC is 1477927440. It was assigned to this organization in the NPPES registry on November 13, 2015. The provider is doing business as The Legacy At Trinidad.

Where is Trinidad Assisted Living, LLC located?

Trinidad Assisted Living, LLC is located at 33 Legacy Ln, Trinidad, CO 81082. The listed phone number is (719) 846-8662.

What is Trinidad Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Trinidad Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2231963) is associated with this NPI, valid through August 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Trinidad Assisted Living, LLC was last updated on November 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.