SAM LEM HEAN (NPI# 1750587077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750587077 |
| Entity Type | Organization |
| Organization Name | SAM LEM HEAN |
| Other Organization Name | FAMILY CARE ASSISTED LIVING |
| Practice Address |
174 Edlum Road Grand Junction CO 81503 |
| Mailing Address |
476 Gunnison Way Grand Junction CO 81503 |
| Practice Telephone | 9702100292 |
| Practice Fax Number | 9705238066 |
| Mailing Telephone | 9702416379 |
| Mailing Fax Number | 9705238066 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | MR. SAM LEM HEAN (OWNER) |
| Authorized Official Telephone | 9702100292 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 68350872 | 05 |
| Other Name | Type Code |
|---|---|
| Family Care Assisted Living | Doing Business As Name - Organization |
| Street Address |
174 EDLUM ROAD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821544537 | Diana D Conner | Homemaker | 2780 Uranium Drive, Grand Junction, CO 81503 | 2016-09-01 |
| 1760804074 | Chelsee Bergin | Dental Hygienist | 2748 1/2 B Road, Grand Junction, CO 81503 | 2014-01-07 |
| 1841235835 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 2770 Highway 50, Grand Junction, CO 81503 | 2006-06-17 |
| 1376592303 | Stephen L Johnson | Dentist | 2249 Broadway, Grand Junction, CO 81503 | 2006-05-08 |
| 1366589681 | All Care Pilgrim Home LLC | Assisted Living Facility | 2194 Mckinley Dr, Grand Junction, CO 81503-1139 | 2007-01-30 |
| 1225200058 | Monument Assisted Living | Assisted Living Facility | 2194 Mckinley Dr, Grand Junction, CO 81503-1139 | 2008-04-01 |
| 1316129414 | Helen K Leonard | Pharmacist | 2342 Promontory Ct, Grand Junction, CO 81503-1483 | 2007-11-30 |
| 1972556561 | Fruita Family Medicine Pllc | Family Medicine | 2330 E Alcove Dr, Grand Junction, CO 81503-1485 | 2006-05-18 |
| 1982779427 | Cheryl Marie Koubeck | Social Worker | 377 S Redlands Rd, Grand Junction, CO 81503-1768 | 2006-11-21 |
| 1972643419 | Cheryl M Koubeck | Social Worker | 377 S Redlands Rd, Grand Junction, CO 81503-1768 | 2007-02-07 |
| Find all providers in zip 81503 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215471370 | Family Care Assisted Living LLC | Assisted Living Facility | 174 Edlun Rd, Grand Junction, CO 81503-2220 | 2016-12-08 |
| 1982723466 | Angkor Wat Alternative Care | Assisted Living Facility | 476 Gunnison Way, Grand Junction, CO 81504-5849 | 2007-03-28 |
| 1710026760 | Advantage Home Care | Assisted Living Facility | 972 Walnut Ave, Grand Junction, CO 81501 | 2007-02-06 |
| 1821607680 | Aspen Meadows Assisted Living, LLC | Assisted Living Facility | 476 Gunnison Way, Grand Junction, CO 81504-5849 | 2020-07-28 |
| 1598120826 | Angkor Wat Alternative Care | Assisted Living Facility | 476 Gunnison Way, Grand Junction, CO 81504-5849 | 2015-12-31 |
| 1922463843 | Crest Ridge Memory Care | Assisted Living Facility | 972 Walnut Ave, Grand Junction, CO 81501-2952 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811522071 | Triangle Cross Ranch | Assisted Living Facility | 36049 Co Rd 51, Galeton, CO 80622 | 2020-03-09 |
| 1528539012 | Kasko LLC | Assisted Living Facility | 7120 S Broadway, Littleton, CO 80122-8006 | 2018-12-10 |
| 1346608072 | Just for Seniors Living Center | Assisted Living Facility | 1180 Brentwood St, Lakewood, CO 80214-4015 | 2016-02-09 |
| 1538527973 | Harvey Park Assisted Living LLC | Assisted Living Facility | 1999 S Raleigh St, Denver, CO 80219-5152 | 2016-01-31 |
| 1447615968 | Johnson Home Assisted Living, Inc. | Assisted Living Facility | 403 W 13th St, Pueblo, CO 81003-2748 | 2015-12-28 |
| 1215300058 | Scs Assisted Living Inc | Assisted Living Facility | 8029 S Marshall St, Littleton, CO 80128-5856 | 2015-11-02 |
| 1861793457 | Angkor Wat East Assisted Living I | Assisted Living Facility | 3293 Lombardy Ln, Clifton, CO 81520-7717 | 2010-11-12 |
| 1043484140 | P.a.l's Acf & Day Program | Assisted Living Facility | 232 Broadway Ave, Pueblo, CO 81004-2102 | 2008-04-18 |
| 1093917098 | C-c Boarding Home | Assisted Living Facility | 412 S Hancock Ave, Colorado Springs, CO 80903-3700 | 2007-06-01 |
| 1972712701 | Princeton House | Assisted Living Facility | 3884 W Princeton Cir, Denver, CO 80236-3111 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81503 |
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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.