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THE MARY SANDOE HOUSE INC NPI 1104368000


NPI Information

NPI: 1104368000
Provider Name: THE MARY SANDOE HOUSE, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1244 GILLASPIE DR
1242 GILLASPIE DRIVE
BOULDER, CO
ZIP 80305
Phone: (303) 494-7317
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THE MARY SANDOE HOUSE, INC is an assisted living facility in Boulder, CO. The provider is 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. THE MARY SANDOE HOUSE, INC NPI is 1104368000. The provider is registered as an organization entity type.

The provider's business location address is:

1244 GILLASPIE DR
1242 GILLASPIE DRIVE
BOULDER, CO
ZIP 80305-600
Phone: (303) 494-7317
Fax: (303) 494-0653

The provider's authorized official is Dorothy Marie Longobardi .
The authorized official title is Director and has the following contact phone number (303) 494-7317.

The enumeration date for this NPI number is 11/8/2016 and was last updated on 11/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility230354COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
104181251MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.