CLC Dayspring Villa, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2304IX Issued in CO

Legal business name

CLC DAYSPRING VILLA, LLC

Doing business as

Dayspring Villa

Practice address

3777 W 26TH Ave
Denver, CO 80211-4003

Phone

(303) 455-5066

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bryon Childs, CPA

Title

Treasurer

Phone

(720) 974-3504

Specialties & licenses 1

Addresses

Other names 1

• Dayspring Villa Doing business as

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1164978284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E BELLEVIEW AVE STE 150",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111660",
            "telephone_number": "720-974-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 W 26TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114003",
            "telephone_number": "303-455-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC DAYSPRING VILLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "720-974-3504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "2304IX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayspring Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Denver, CO
• Providers in Denver, 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 Aug 29, 2016; 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.