Sun Valley Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2304TZ Issued in CO

Legal business name

SUN VALLEY ASSISTED LIVING LLC

Practice address

7631 S Depew Way
Littleton, CO 80128-7051

Phone

(720) 388-5249

Fax

(720) 287-1005

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Sarasaty Soekarso

Title

Administrator

Phone

(720) 388-5249

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1144699059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 S DEPEW WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801287051",
            "telephone_number": "720-388-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 S DEPEW WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801287051",
            "telephone_number": "720-388-5249",
            "fax_number": "720-287-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "SOEKARSO",
        "authorized_official_first_name": "SARASATY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-388-5249"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304TZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHE",
            "identifier": "2304TZ",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Littleton, CO
• Providers in Littleton, 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 Sep 21, 2015; 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.