Organization Active NPI

Tbi Colorado

  • Assisted Living Facility
  • Centennial, CO
National Provider Identifier
1689166407
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
23A468 Issued in CO
Legal business name
TBI COLORADO
Practice address
7681 S Wellington St
Centennial, CO 80122-3054
Phone
(720) 412-5730
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Teddi Samuel
Title
Ceo
Phone
(720) 412-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 23A468 CO Primary

Addresses

Primary practice location

7681 S Wellington St
Centennial, CO 80122-3054

Mailing address

10730 Jordan CT
Parker, CO 80134-7614
Phone (720) 412-5730

Other identifiers 1

IdentifierTypeStateIssuer
51342MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
SLP Colorado3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7681 S Wellington St
Centennial, CO 80122
Phone (303) 794-0881

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1689166407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 JORDAN CT",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347614",
            "telephone_number": "720-412-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7681 S WELLINGTON ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801223054",
            "telephone_number": "720-412-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "TEDDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-412-5730"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23A468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51342",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.