National Provider Identifier Database

OUR FAMILY CARE HOME ASSISTED LIVING LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

OUR FAMILY CARE HOME ASSISTED LIVING LLC
1169 JOHNSON STREET
LAKEWOOD, CO80215
Phone: 541-598-5336
Fax: 303-237-1690
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for OUR FAMILY CARE HOME ASSISTED LIVING LLC

NPI Number 1356876700
Legal business name
LBN
OUR FAMILY CARE HOME ASSISTED LIVING LLC
Authorized official MELISSA MOYLAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/24/2017
Last updated 04/24/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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