SANDSTONE CARE COLORADO, LLC (NPI# 1558819672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558819672 |
| Entity Type | Organization |
| Organization Name | SANDSTONE CARE COLORADO, LLC |
| Practice Address |
350 Interlocken Blvd Broomfield CO 80021-3477 |
| Mailing Address |
7555 E Hampden Ave Ste 103 Denver CO 80231-4832 |
| Practice Telephone | 2404232469 |
| Mailing Telephone | 7203721490 |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | RICK MCKENZIE (DIRECTOR) |
| Authorized Official Telephone | 2404232469 |
| Is Organization Subpart | Y |
| Parent Organization Name | SANDSTONE CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1791-01 | CO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426386 | Sandstone Care Colorado, LLC | Clinic/Center | 7555 E Hampden Ave Ste 103, Denver, CO 80231-4832 | 2019-09-16 |
| 1528437522 | Sandstone Care Colorado, LLC | Community/Behavioral Health | 2100 S Cherry St, Denver, CO 80222-5036 | 2015-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Sandstone Care Colorado, LLC | 7555 East Hampden Ave Suite 103, Denver, CO 80231 |
| Street Address |
350 INTERLOCKEN BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437338001 | Boulder Intraoperative Monitoring | Technician, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2007-10-30 |
| 1639567217 | Samantha Miller | Counselor | 350 Interlocken Blvd, Broomfield, CO 80021-3477 | 2015-01-05 |
| 1871838995 | Jonathan P Vanderhamm | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-11-29 |
| 1962751289 | Julianne E Bishop | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-08-31 |
| 1669733226 | James P Nutt | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-05-30 |
| 1023388816 | Kerstin Violet May-higgins | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2012-01-10 |
| 1467733527 | Brian Lamar Ponder | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-09-02 |
| 1093093445 | Adasha L. Turner | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2011-08-02 |
| 1063711620 | Haley Hinkle | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-03-22 |
| 1265737498 | Irshad A Siddiqui | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962042127 | Mental Health Center of Boulder County, Inc. | Community/Behavioral Health | 799 Us Highway 287 Unit F, Broomfield, CO 80020-0201 | 2020-01-15 |
| 1558867937 | Connections Autism Services, LLC | Community/Behavioral Health | 80 Garden Ctr Ste 26, Broomfield, CO 80020-1773 | 2018-04-04 |
| 1417409442 | Ethan Selvig LLC | Community/Behavioral Health | 80 Garden Ctr Ste 222, Broomfield, CO 80020-1735 | 2016-10-25 |
| 1386057560 | Leaning In Counseling, LLC | Community/Behavioral Health | 80 Garden Ctr Ste 46, Broomfield, CO 80020-1777 | 2014-06-05 |
| 1053561019 | Awakening Acupucture & Herbal Medicine | Community/Behavioral Health | 1140 Us Highway 287 Unit 100, Broomfield, CO 80020-7076 | 2008-09-26 |
| 1942420559 | Mental Health Center of Boulder County | Community/Behavioral Health | 899 Us Highway 287 Ste 300, Broomfield, CO 80020-7319 | 2007-04-26 |
| 1104456938 | Family Services Center LLC | Community/Behavioral Health | 80 Garden Ctr Ste 170, Broomfield, CO 80020-1790 | 2020-01-21 |
| 1164068854 | Andrea Salvo | Community/Behavioral Health | 18 Garden Ctr, Broomfield, CO 80020-1730 | 2019-11-18 |
| 1144756750 | Aspire Autism | Community/Behavioral Health | 14 Garden Ctr, Broomfield, CO 80020-7314 | 2017-05-03 |
| 1427506963 | Empowering Systemic Therapy | Community/Behavioral Health | 80 Garden Ctr, Broomfield, CO 80020-7087 | 2016-09-13 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.