Organization
TRINIDAD ASSISTED LIVING, LLC
Active
Other names
The Legacy at Trinidad
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B BEARDSLEY (PRESIDENT)
(423) 596-0169
Entity
Organization
Contact information
Practice address
33 LEGACY LN, TRINIDAD, CO 81082-9300
(719) 846-8662
Mailing address
PO BOX 23, KINGSVILLE, MO 64061-0023
(423) 596-0169
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
23Z790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23Z790
COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT
CO
05
—
48738336
—
CO
Enumeration date
11/13/2015
Last updated
11/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us