CLC DAYSPRING VILLA LLC NPI 1164978284

NPI Information

  • NPI: 1164978284
  • Provider Name: CLC DAYSPRING VILLA, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: DAYSPRING VILLA
  • CLIA Number: 06D2231068
  • Address: 3777 W 26TH AVE
    DENVER, CO
    ZIP 80211
  • Phone: (303) 455-5066

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NPI Details

CLC DAYSPRING VILLA, LLC is an assisted living facility in Denver, 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. CLC DAYSPRING VILLA, LLC NPI is 1164978284. The provider is registered as an organization entity type.
The provider Is Doing Business As Dayspring Villa.

The provider's business location address is:

3777 W 26TH AVE
DENVER, CO
ZIP 80211-003
Phone: (303) 455-5066

The provider's authorized official is Bryon Childs .
The authorized official title is Treasurer and has the following contact phone number (720) 974-3504.

The CLIA number assigned to this NPI record is 06D2231068 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2016 and was last updated on 8/29/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility2304IXCOLORADOYes

What is NPI?

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This page was last updated on: 3/30/2025

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