Sophia Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

23H518 Issued in CO

Legal business name

SOPHIA ASSISTED LIVING

Practice address

3828 S Eagle St
Aurora, CO 80014-4106

Phone

(720) 296-0724

Fax

(303) 699-3587

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Supit

Title

Co-Owner

Phone

(720) 296-0724

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1770072282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 S EAGLE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 S EAGLE ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144106",
            "telephone_number": "720-296-0724",
            "fax_number": "303-699-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "SUPIT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-296-0724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "23H518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING",
            "identifier": "23H518",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sonnenburg, PTA
• Maki Sonoda, MA
• Jeffrey Raymond Soohoo, MD
• Megan Clare McFerson Soohoo, M.D.
• Wayne Soong, MD
• Ricki Sorensen-Redondo, RN
• Adam Thomas Sorensen, D.O.
• Heather Ann Sorensen, R.N.
• Heidi R.a. Sorensen, MD
• Leif Eldon Sorensen

• Assisted Living Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.