OrganizationActive
Sample Supports, LLC
NPI 1326610213 · Day Training/Habilitation Specialist · Longmont, CO
Provider details
- NPI number
- 1326610213
- Entity type
- Organization
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Carmen Sample, Ceo(303) 523-8057
Specialties & taxonomies
Nursing Service Related Providers
Practice location
620 Kimbark St
Longmont, CO 80501-4911
Phone: (720) 684-6102
Approximate (ZIP-level) locationGet directions
Mailing address
620 Kimbark St
Longmont, CO 80501-4911
Additional practice locations (1)
- 309 Atwood StLongmont, CO 80501-5514Phone: (720) 684-6102
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2021-08-10
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.