Randolph Assisted Living LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

23Q662 Issued in CO

Legal business name

RANDOLPH ASSISTED LIVING LLC

Practice address

12974 E Elgin Dr
Denver, CO 80239-4419

Phone

(719) 250-3048

Fax

(303) 375-0674

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Monalisa Randolph

Title

Owner Administrator

Phone

(719) 250-3048

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1093252298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12974 E ELGIN DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394419",
            "telephone_number": "719-250-3048",
            "fax_number": "303-375-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12974 E ELGIN DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394419",
            "telephone_number": "719-250-3048",
            "fax_number": "303-375-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "MONALISA",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "719-250-3048"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": "CO",
            "license": "23Q662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Randell
• Amarjyot Kaur Randhawa
• Julianne Marie Randlemon, DNP, FNP-C
• Crystal Randles, LCSW
• Jill M Randoll, LPC
• Ann Randolph, RDH
• Christie C. Randolph, PH.D.
• Sara Schoenle Randolph, DPT
• Sarah Randow
• Randy a Braley PHD LMFT LLC

• Adult Companion in Denver, CO
• Providers in Denver, CO by specialty
• Adult Companion in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.