Appleleaf Assisted Living Inc..

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0175 Issued in CO

Legal business name

APPLELEAF ASSISTED LIVING INC..

Practice address

1328 1St St
Berthoud, CO 80513-2803

Phone

(970) 532-2600

Fax

(970) 532-2600

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Peter Sevy

Title

Owner

Phone

(970) 532-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1881806362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 1ST ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805132803",
            "telephone_number": "970-532-2600",
            "fax_number": "970-532-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 1ST ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805132803",
            "telephone_number": "970-532-2600",
            "fax_number": "970-532-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLELEAF ASSISTED LIVING INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "SEVY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-532-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47482567",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Berthoud, CO
• Providers in Berthoud, 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 Dec 14, 2016; 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.