Senior Living at the Pinery LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

23W266 Issued in CO

Legal business name

SENIOR LIVING AT THE PINERY LLC

Practice address

6875 N Windview Cir
Parker, CO 80134-6337

Phone

(303) 808-4047

Fax

(303) 617-1341

NPI assigned

Feb 25, 2016

Last updated

Feb 25, 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

Dr. Jayadevi K Seenichamy, LCSW, PHDNPI 1730396367

Title

Owner/Administrator

Phone

(303) 808-4047

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayadevi K Seenichamy, LCSW

  • Clinical Social Worker
  • Littleton, CO
  • NPI 1730396367
  NPD (past) Authorized official

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1487014916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630696",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801630696",
            "telephone_number": "303-808-4047",
            "fax_number": "303-617-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 N WINDVIEW CIR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346337",
            "telephone_number": "303-808-4047",
            "fax_number": "303-617-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING AT THE PINERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "SEENICHAMY",
        "authorized_official_first_name": "JAYADEVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "303-808-4047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "23W266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "55575315",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Parker, CO
• Providers in Parker, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.