Organization Active NPI

A Clean Team, LLC

  • Homemaker
  • Fort Collins, CO
National Provider Identifier
1104449768
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
A CLEAN TEAM, LLC
Practice address
2800 Worthington Ave
Fort Collins, CO 80526-2659
Phone
(970) 631-5853
NPI assigned
May 18, 2020
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcy Le Claire
Title
Member
Phone
(970) 631-5853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

2800 Worthington Ave
Fort Collins, CO 80526-2659

Mailing address

2800 Worthington Ave
Fort Collins, CO 80526-2659
Phone (970) 631-5853

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1104449768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WORTHINGTON AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262659",
            "telephone_number": "970-631-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WORTHINGTON AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262659",
            "telephone_number": "970-631-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CLEAN TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "LE CLAIRE",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "970-631-5853"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.