Active NPI
SC Custom, LLC
- In Home Supportive Care Agency
- Westminster, CO
National Provider Identifier
1427790898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SC CUSTOM, LLC
- Doing business as
- SC Custom Care
SC Custom Respite Care - Practice address
- 2977 W 119TH Ave Unit 203
Westminster, CO 80234-2494 - Phone
- (303) 910-5993
- NPI assigned
- Apr 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheri Clair
- Title
- Respite Manager
- Phone
- (303) 910-5993
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
2977 W 119TH Ave Unit 203
Westminster, CO 80234-2494
Mailing address
2977 W 119TH Ave Unit 203
Westminster, CO 80234-2494
Phone (303) 910-5993
Other names 2
- SC Custom Care
- SC Custom Respite Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Respite Care
- Westminster, CO
- NPI 1437809423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1427790898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2977 W 119TH AVE UNIT 203",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342494",
"telephone_number": "303-910-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2977 W 119TH AVE UNIT 203",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802342494",
"telephone_number": "303-910-5993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SC CUSTOM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-07",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "CLAIR",
"authorized_official_first_name": "SHERI",
"authorized_official_title_or_position": "RESPITE MANAGER",
"authorized_official_telephone_number": "303-910-5993"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SC Custom Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SC Custom Respite Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.