Organization Active NPI

School Road Senior Living, LLC

  • Assisted Living Facility
  • Easley, SC
National Provider Identifier
1639720659
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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)CodeLicenseStatePrimary
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 Other name

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.

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.

Verify at the official NPI Registry.