Active NPI
SSC Longmont Operating Company LLC
- Respite Care
- Longmont, CO
National Provider Identifier
1760970842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 1280
- Legal business name
- SSC LONGMONT OPERATING COMPANY LLC
- Practice address
- 1800 Stroh PL
Longmont, CO 80501-3214 - Phone
- (303) 776-6081
- NPI assigned
- Apr 25, 2018
- Organization subpart
- Yes
- Parent organization
- APPLEWOOD LIVING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ken Pitts
- Title
- Director Reimbursement
- Phone
- (832) 467-6793
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 1280 | CO | Primary |
Addresses
Primary practice location
1800 Stroh PL
Longmont, CO 80501-3214
Mailing address
5300 W Sam Houston Pkwy N Ste 100
Houston, TX 77041-5162
Phone (862) 467-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000160179 | Medicaid | CO |
Other names 1
- Applewood Living Center
National Provider Directory
National Provider Directory- Part of
- SSC Longmont Operating Company LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524614400000",
"number": "1760970842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 W SAM HOUSTON PKWY N STE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770415162",
"telephone_number": "862-467-6000",
"fax_number": "832-467-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 STROH PL",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013214",
"telephone_number": "303-776-6081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSC LONGMONT OPERATING COMPANY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "APPLEWOOD LIVING CENTER",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A",
"authorized_official_last_name": "PITTS",
"authorized_official_first_name": "KEN",
"authorized_official_title_or_position": "DIRECTOR REIMBURSEMENT",
"authorized_official_telephone_number": "832-467-6793"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "CO",
"license": "1280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000160179",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Applewood Living Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Applewood Living Center",
"code": "3",
"type": "Doing Business As"
}
]
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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 Apr 25, 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.