SUNRISE ASSISTED LIVING OF BOULDER
NPI 1770792962
Assisted Living Facility in Boulder, CO

Active since May 22, 2007CLIA 06D2195426 · Waiver
3975 28TH ST, BOULDER, CO 80301(720) 406-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Sunrise Assisted Living Of Boulder NPPES

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

SUNRISE ASSISTED LIVING OF BOULDER (NPI 1770792962) is a healthcare organization registered as an assisted living facility in Boulder, Colorado and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Jennifer Henkel, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770792962
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBOULDER ASSISTED LIVING, LLC
Location Address3975 28TH STBoulder, CO 80301-1603
Mailing Address3975 28th StBoulder, CO 80301-1603 · (720) 406-1000
Organization SubpartNo
Authorized OfficialJennifer HenkelExecutive Director · (720) 406-1000
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1770792962 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 · AL-1055
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.
3975 28TH ST, Boulder, CO 80301

Other Names 1

Other NameSunrise Assisted Living Of Boulder

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 06D2195426

Sunrise Senior Living Of Boulder · Boulder, CO
Active · expires Oct 7, 2026
CLIA Number06D2195426
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorJessica Barrera
Laboratory Phone(720) 406-1000
Laboratory LocationSunrise Senior Living Of Boulder3955 28th Street, Boulder, CO 80301
CLIA data matches this NPI record on: 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 Boulder Assisted Living, LLC's NPI number?

The NPI number for Boulder Assisted Living, LLC is 1770792962. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is also known as Sunrise Assisted Living Of Boulder.

Where is Boulder Assisted Living, LLC located?

Boulder Assisted Living, LLC is located at 3975 28th St, Boulder, CO 80301. The listed phone number is (720) 406-1000.

What is Boulder Assisted Living, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 06D2195426) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boulder Assisted Living, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.