LAMAR ASSISTED LIVING LLC NPI 1477514461

NPI Information

  • NPI: 1477514461
  • Provider Name: LAMAR ASSISTED LIVING, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: LEGACY AT LAMAR
  • CLIA Number: 06D2231189
  • Address: 650 KENDALL DR
    LAMAR, CO
    ZIP 81052
  • Phone: (719) 336-7004

Map and Directions

Get Directions

NPI Details

LAMAR ASSISTED LIVING, LLC is an assisted living facility in Lamar, 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. LAMAR ASSISTED LIVING, LLC NPI is 1477514461. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy At Lamar.

The provider's business location address is:

650 KENDALL DR
LAMAR, CO
ZIP 81052-946
Phone: (719) 336-7004
Fax: (719) 336-7037

The provider's authorized official is Donald Kanen .
The authorized official title is Cfo and has the following contact phone number (719) 589-2063.

The CLIA number assigned to this NPI record is 06D2231189 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 8/22/2020.

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 FacilityAL-0122COLORADOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104183323MEDICAIDCOLORADO

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI