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LUCYANA TANUWIDJAJA
NPI 1558035972
Assisted Living Facility in Centennial, CO

Active since August 09, 2021
6948 S SYRACUSE CT, CENTENNIAL, CO 80112(720) 404-6249 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lucyana Tanuwidjaja NPPES

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

LUCYANA TANUWIDJAJA (NPI 1558035972) is an individual assisted living facility provider in Centennial, Colorado and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1558035972
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameLUCYANA TANUWIDJAJA
Location Address6948 S SYRACUSE CTCentennial, CO 80112-1230
Mailing Address6948 S Syracuse CtCentennial, CO 80112-1230 · (720) 404-6249
Phone(720) 404-6249
Sole ProprietorYes
Enumeration DateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1558035972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
6948 S SYRACUSE CT, Centennial, CO 80112
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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 Lucyana Tanuwidjaja's NPI number?

The NPI number for Lucyana Tanuwidjaja is 1558035972. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Where is Lucyana Tanuwidjaja located?

Lucyana Tanuwidjaja practices at 6948 S Syracuse Ct, Centennial, CO 80112. The listed phone number is (720) 404-6249.

What is Lucyana Tanuwidjaja's specialty?

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

When was this NPI record last updated?

The NPPES record for Lucyana Tanuwidjaja was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.