Organization
TOTAL LONGTERM CARE, INC.
Active
Parent organization
TOTAL LONGTERM CARE, INC.
Other names
InnovAge Colorado PACE Loveland
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL LONGTERM CARE, INC.
Authorized official
GAYLE M WASHINGTON (CREDENTIALING COORDINATOR)
(303) 912-7193
Entity
Organization
Contact information
Practice address
1303 E 11TH ST, LOVELAND, CO 80537-5051
(970) 800-5500
Mailing address
8950 E LOWRY BLVD, DENVER, CO 80230-7030
(303) 091-2719
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21904863
—
CO
Enumeration date
12/10/2020
Last updated
10/20/2021
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