Organization Active NPI

The Manor on Sycamore St. LLC

  • Assisted Living Facility
  • Littleton, CO
National Provider Identifier
1750588752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30850541MedicaidCO

National Provider Directory

National Provider Directory

NPI 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": []
}

Other providers in Littleton, CO

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.

Verify at the official NPI Registry.