Provider Demographics
NPI:1104707652
Name:SANDERS HOME HEALTHCARE & CAREGIVERS ASSISTED LIVING
Entity type:Organization
Organization Name:SANDERS HOME HEALTHCARE & CAREGIVERS ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROOSEVELT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-502-3325
Mailing Address - Street 1:8267 SEDGEWICK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80925-9418
Mailing Address - Country:US
Mailing Address - Phone:414-502-3325
Mailing Address - Fax:
Practice Address - Street 1:6665 BROOK PARK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1210
Practice Address - Country:US
Practice Address - Phone:414-502-3325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDERS HOME HEALTHCARE & CAREGIVERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Multi-Specialty