Longmont TC, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LONGMONT TC, LLC

Practice address

1960 South Fordham St
Longmont, CO 80503

Phone

(972) 899-4401

Fax

(972) 899-4806

NPI assigned

Jan 11, 2017

Last updated

Sep 30, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Paul Taylor

Title

Authorized Official

Phone

(972) 899-4401

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1063958338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WATERS RIDGE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576011",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 SOUTH FORDHAM ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80503",
            "telephone_number": "972-899-4401",
            "fax_number": "972-899-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT TC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-899-4401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Longmont, CO
• Providers in Longmont, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.