Organization Active NPI

Sandstone Care Colorado, LLC

  • Community/Behavioral Health Agency
  • Broomfield, CO
National Provider Identifier
1558819672
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1791-01 Issued in CO
Legal business name
SANDSTONE CARE COLORADO, LLC
Practice address
350 Interlocken Blvd
Broomfield, CO 80021-3477
Phone
(240) 423-2469
NPI assigned
Sep 18, 2016
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SANDSTONE CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Rick McKenzie
Title
Director
Phone
(240) 423-2469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1791-01 CO Primary

Addresses

Primary practice location

350 Interlocken Blvd
Broomfield, CO 80021-3477

Mailing address

7555 E Hampden Ave Ste 103
Denver, CO 80231-4832
Phone (720) 372-1490

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2120636Sandstone Care Colorado, LLC350 Interlocken Blvd, Suite 100, Broomfield, CO 80021Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Sandstone Care Colorado LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Interlocken Blvd
Broomfield, CO 80021
Phone (240) 423-2469

NPI Registry JSON

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

{
    "created_epoch": "1474156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1558819672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 E HAMPDEN AVE STE 103",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314832",
            "telephone_number": "720-372-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 INTERLOCKEN BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213477",
            "telephone_number": "240-423-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDSTONE CARE COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANDSTONE CARE, LLC",
        "enumeration_date": "2016-09-18",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-423-2469"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1791-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.