Active NPI
Sam Lem Hean
Doing business as Family Care Assisted Living
- Assisted Living Facility (Mental Illness)
- Grand Junction, CO
National Provider Identifier
1750587077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- Legal business name
- SAM LEM HEAN
- Doing business as
- Family Care Assisted Living
- Practice address
- 174 Edlum Road
Grand Junction, CO 81503 - Phone
- (970) 210-0292
- Fax
- (970) 523-8066
- NPI assigned
- Jun 24, 2007
- Last updated
- Aug 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sam Lem Hean, B.A.
- Title
- Owner
- Phone
- (970) 210-0292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | Primary |
Addresses
Primary practice location
174 Edlum Road
Grand Junction, CO 81503
Mailing address
476 Gunnison Way
Grand Junction, CO 81503
Phone (970) 241-6379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68350872 | Medicaid | CO |
Other names 1
- Family Care Assisted Living
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Personal Care Attendant
- Clifton, CO
- NPI 1417321050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1750587077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 GUNNISON WAY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81503",
"telephone_number": "970-241-6379",
"fax_number": "970-523-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 EDLUM ROAD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81503",
"telephone_number": "970-210-0292",
"fax_number": "970-523-8066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAM LEM HEAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-24",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "HEAN",
"authorized_official_first_name": "SAM",
"authorized_official_middle_name": "LEM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-210-0292",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "68350872",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Care Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.