The Good Vibes LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE GOOD VIBES LLC

Practice address

5933 S Wenatchee St
Aurora, CO 80015-6658

Phone

(720) 412-3394

Fax

(720) 222-5150

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Timbul Sianturi

Title

Executive Director

Phone

(909) 725-9374

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1760193486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 S WENATCHEE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156658",
            "telephone_number": "720-412-3394",
            "fax_number": "720-222-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 S WENATCHEE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156658",
            "telephone_number": "720-412-3394",
            "fax_number": "720-222-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD VIBES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "SIANTURI",
        "authorized_official_first_name": "TIMBUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-725-9374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktops",
            "affiliation": "N",
            "address_1": "5933 S Wenatchee St",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800156658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.