SDSB LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

230186 Issued in CO

Legal business name

SDSB LLC

Practice address

30799 County Road 46
Akron, CO 80720-9506

Phone

(970) 554-1115

NPI assigned

Mar 3, 2011

Last updated

Mar 3, 2011By 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

Ms. Daffeny Sampson

Title

President

Phone

(970) 554-1115

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1124326905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30799 COUNTY ROAD 46",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807209506",
            "telephone_number": "970-554-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30799 COUNTY ROAD 46",
            "city": "AKRON",
            "state": "CO",
            "postal_code": "807209506",
            "telephone_number": "970-554-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDSB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "DAFFENY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-554-1115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "230186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER FOR ASSISTED LIVING",
            "identifier": "230186",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Colorado Health Department
• David Bruce Oakley, D.C.
• Stephanie Jo Oneil
• Gary C Peterson, NP
• Kathleen Sandberg, LCSW
• Ann M Tompkins Smart, LPC
• Joyce Vasquez
• Washington County Colorado (Washington County Clinic)
• Washington County Colorado (Washington County Ambulance Service)
• Washington County Nursing Home

• Assisted Living Facility in Akron, CO
• Providers in Akron, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.