OrganizationActive
Sample Supports, LLC
NPI 1639843410 · Day Training/Habilitation Specialist · Longmont, CO
Provider details
- NPI number
- 1639843410
- 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
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
309 Atwood St
Longmont, CO 80501
Phone: (720) 684-6102
Street-level locationGet directions
Mailing address
620 Kimbark St
Longmont, CO 80501-4911
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-04
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.