Lamar Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0122 Issued in CO

Legal business name

LAMAR ASSISTED LIVING, LLC

Doing business as

Legacy at Lamar

Practice address

650 Kendall Dr
Lamar, CO 81052-3946

Phone

(719) 336-7004

Fax

(719) 336-7037

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Donald Kanen

Title

Cfo

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy at Lamar Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477514461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MULLINS AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811014274",
            "telephone_number": "719-589-2063",
            "fax_number": "719-589-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 KENDALL DR",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523946",
            "telephone_number": "719-336-7004",
            "fax_number": "719-336-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMAR ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "719-589-2063"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04183323",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy at Lamar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juniper Haven, LP
• Charles Dale Kelley, D.D.S.
• Ben Kim, PHARMD.
• Douglas William Kuhns, D.C.
• Lamar Area Hospice Association
• Lamar Chiropractic
• Lamar Dental Associates
• Lamar Estates Opco LLC
• Lamar Estates, LLC
• Lamar Medical Assoc PC

• Assisted Living Facility in Lamar, CO
• Providers in Lamar, 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.