Individual provider Active NPI

Raeinalyn S Salcedo

  • Assisted Living Facility
  • Centennial, CO
National Provider Identifier
1467062976
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23F916 Issued in CO
Practice address
7741 E Easter PL
Centennial, CO 80112-1735
Phone
(720) 882-8001
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23F916 CO Primary

Addresses

Primary practice location

7741 E Easter PL
Centennial, CO 80112-1735

Mailing address

7741 E Easter PL
Centennial, CO 80112-1735
Phone (720) 882-8001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s-smemorycareassistedliving.llc@outlook.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23F916COMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
S&S Memory Care Assisted Living LLC Assisted Living Facility Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1467062976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 E EASTER PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121735",
            "telephone_number": "720-882-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 E EASTER PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121735",
            "telephone_number": "720-882-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO",
        "first_name": "RAEINALYN",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23F916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s-smemorycareassistedliving.llc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7741 E Easter Pl",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801121735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.