Organization Active NPI

Stonebridge Senior LLC

  • Assisted Living Facility
  • Arvada, CO
National Provider Identifier
1386455020
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
STONEBRIDGE SENIOR LLC
Practice address
11825 W 64TH Ave
Arvada, CO 80004-4307
Phone
(303) 667-6217
NPI assigned
Jan 14, 2025
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Troy McClymonds
Title
Manager
Phone
(303) 667-6217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

11825 W 64TH Ave
Arvada, CO 80004-4307

Mailing address

11825 W 64TH Ave
Arvada, CO 80004-4307
Phone (303) 667-6217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1386455020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044307",
            "telephone_number": "303-667-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044307",
            "telephone_number": "303-667-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE SENIOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MCCLYMONDS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-667-6217"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.