SAMPLE SUPPORTS
NPI 1649577453
Community/Behavioral Health in Longmont, CO

Q: What is Sample Supports's NPI number?

The NPI number for Sample Supports is 1649577453. It was assigned to this organization in the NPPES registry on February 15, 2011.

Q: What is Sample Supports's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Sample Supports 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.

Active since February 15, 2011

606 MOUNTAIN VIEW AVE, LONGMONT, CO 80501(720) 684-6102(303) 261-8216 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2023, Sep 6, 2021, Dec 20, 2020 (3 updates tracked since 2020).

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About Sample Supports NPPES

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

SAMPLE SUPPORTS (NPI 1649577453) is a healthcare organization registered as a community/behavioral health in Longmont, Colorado and active in the NPI registry since February 2011. The organization lists Carmen Sample, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649577453

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSAMPLE SUPPORTS

Location Address606 MOUNTAIN VIEW AVELongmont, CO 80501-2779

Mailing Address606 Mountain View AveLongmont, CO 80501-2779 · (720) 684-6102 · Fax (303) 261-8216

Phone(720) 684-6102

Fax(303) 261-8216

Organization SubpartNo

Authorized OfficialCarmen SampleExecutive Director · (720) 684-6102

Enumeration DateFebruary 15, 2011

Last NPPES UpdateJanuary 31, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1649577453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

606 MOUNTAIN VIEW AVE, Longmont, CO 80501

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Other Identifiers 1

Medicaid40078256CO

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.

SAMPLE SUPPORTS, LLC

Day Training/Habilitation Specialist