Sanford & Clay Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

231113 Issued in CO

Legal business name

SANFORD & CLAY CARE INC

Doing business as

Delta House

Practice address

233 Main St
Delta, CO 81416-1814

Phone

(970) 874-1117

Fax

(970) 874-8853

NPI assigned

Oct 6, 2015

Last updated

Oct 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Trujillo

Title

Manager

Phone

(970) 874-1117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delta House Doing business as

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1962872788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161814",
            "telephone_number": "970-874-1117",
            "fax_number": "970-874-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MAIN ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161814",
            "telephone_number": "970-874-1117",
            "fax_number": "970-874-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD & CLAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-874-1117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "231113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56121563",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Delta, CO
• Providers in Delta, 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 Oct 6, 2015; 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.