Organization
TLC PRIVATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELEASE DENISE CHAMBLISS (CNA)
(720) 909-4286
Entity
Organization
Contact information
Practice address
7200 E QUINCY AVE, DENVER, CO 80237-2255
(720) 909-4286
Mailing address
6300 E HAMPDEN AVE UNIT C365, DENVER, CO 80222-7678
(720) 909-4286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821775461
IN HOME SUPPORT SERVICES
CO
05
—
1821775461
—
CO
Enumeration date
07/04/2023
Last updated
08/08/2023
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