Lafayette Medical Investors, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0142 Issued in CO

Legal business name

LAFAYETTE MEDICAL INVESTORS, LLC

Doing business as

Legacy at Lafayette

Practice address

225 Waneka Pkwy
Lafayette, CO 80026-8862

Phone

(303) 666-0691

Fax

(303) 666-5496

NPI assigned

Mar 29, 2006

Last updated

Aug 22, 2020By 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

Donald Kanen

Title

Cfo

Phone

(719) 589-2063

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Legacy at Lafayette Doing business as

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": "1598726671",
    "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": "225 WANEKA PKWY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268862",
            "telephone_number": "303-666-0691",
            "fax_number": "303-666-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE MEDICAL INVESTORS, 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-0142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04183570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy at Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Lachance
• Treccie Hebreo Ladaga-Wengryn, RN
• Lafayette Community Healthcare, LLC (Coal Creek Post Acute & Assisted Living)
• Lafayette Dental Partners, Prof. LLP (Comfort Dental Lafyette)
• Lafayette Eye Associates, P.C.
• Lafayette Modern Smiles Dentistry and Orthodontics, LLP (Lafayette Modern Smiles Dentistry and Orthodontics)
• Lafayette Opco, LLC (Waneka Park Assisted Living)
• Lafayette Pediatrics and Internal Medicine
• Lafayette Psychology, LLC
• Lafayette Senior Living Opco LLC (Waneka Park Assisted Living Residence)

• Assisted Living Facility in Lafayette, CO
• Providers in Lafayette, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.