Active NPI
School Road Senior Living, LLC
- Assisted Living Facility
- Easley, SC
National Provider Identifier
1639720659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- SCHOOL ROAD SENIOR LIVING, LLC
- Practice address
- 125 Zion School Rd
Easley, SC 29642-2833 - Phone
- (864) 859-4647
- NPI assigned
- Sep 20, 2019
- Organization subpart
- Yes
- Parent organization
- SCHOOL ROAD SENIOR LIVING, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Kiklis
- Title
- Member
- Phone
- (303) 952-9216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
125 Zion School Rd
Easley, SC 29642-2833
Mailing address
2668 Northpark Dr
Lafayette, CO 80026-3199
Phone (303) 952-9216
Other names 1
- Easley Place ALF
National Provider Directory
National Provider Directory- Part of
- School Road Senior Living LLC
Locations
2668 Northpark Dr
Lafayette, CO 80026
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Skilled Nursing Facility
- Easley, SC
- NPI 1033768536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568937600000",
"number": "1639720659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2668 NORTHPARK DR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263199",
"telephone_number": "303-952-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ZION SCHOOL RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296422833",
"telephone_number": "864-859-4647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOOL ROAD SENIOR LIVING, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SCHOOL ROAD SENIOR LIVING, LLC",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A",
"authorized_official_last_name": "KIKLIS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "303-952-9216"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Easley Place ALF",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.