Sun Kissed Moments LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

29924871 Issued in CO

Legal business name

SUN KISSED MOMENTS LLC

Practice address

325 E 1St St Lot 411
Ault, CO 80610-9667

Phone

(641) 680-3087

Fax

(970) 834-1143

NPI assigned

Feb 11, 2016

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nickole Marie Behrends

Title

Executive Director

Phone

(641) 680-3087

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1467811992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 1ST ST LOT 411",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109667",
            "telephone_number": "641-680-3087",
            "fax_number": "970-834-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 1ST ST LOT 411",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109667",
            "telephone_number": "641-680-3087",
            "fax_number": "970-834-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN KISSED MOMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "BEHRENDS",
        "authorized_official_first_name": "NICKOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-680-3087",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "29924871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Ault, CO
• Providers in Ault, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.