Active NPI
The Manor on Sycamore St. LLC
- Assisted Living Facility
- Littleton, CO
National Provider Identifier
1750588752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE MANOR ON SYCAMORE ST. LLC
- Practice address
- 6365 S Sycamore St
Littleton, CO 80120-3034 - Phone
- (303) 932-9808
- Fax
- (720) 981-1996
- NPI assigned
- Jul 2, 2007
- 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. Brandon Richard Ropp
- Title
- Owner
- Phone
- (303) 932-9808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6365 S Sycamore St
Littleton, CO 80120-3034
Mailing address
4800 Old S. Wadsworth Blvd.
Littleton, CO 80123
Phone (303) 932-9808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30850541 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750588752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 OLD S. WADSWORTH BLVD.",
"city": "LITTLETON",
"state": "CO",
"postal_code": "80123",
"telephone_number": "303-932-9808",
"fax_number": "720-981-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6365 S SYCAMORE ST",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801203034",
"telephone_number": "303-932-9808",
"fax_number": "720-981-1996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MANOR ON SYCAMORE ST. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROPP",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-932-9808",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30850541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- 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.