Organization Active NPI

Seventh Day Assisted Living

  • Case Manager/Care Coordinator
  • Walsenburg, CO
National Provider Identifier
1932399110
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
713095 Issued in CO
Legal business name
SEVENTH DAY ASSISTED LIVING
Practice address
213 W 10TH St
Walsenburg, CO 81089-2235
Phone
(719) 989-1561
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mr. Rex Andexler
Title
Owner
Phone
(719) 989-1561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 713095 CO Primary

Addresses

Primary practice location

213 W 10TH St
Walsenburg, CO 81089-2235

Mailing address

213 W 10TH St
Walsenburg, CO 81089-2235
Phone (719) 989-1561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1932399110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W 10TH ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892235",
            "telephone_number": "719-989-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W 10TH ST",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810892235",
            "telephone_number": "719-989-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTH DAY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "ANDEXLER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-989-1561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CO",
            "license": "713095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.