NPIMap

Organization Active NPI

Total Longterm Care, Inc.

Doing business as InnovAge Colorado PACE Loveland

  • PACE Provider Organization
  • Loveland, CO
National Provider Identifier
1184220485
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
TOTAL LONGTERM CARE, INC.
Doing business as
InnovAge Colorado PACE Loveland
Practice address
1303 E 11TH St
Loveland, CO 80537-5051
Phone
(970) 800-5500
NPI assigned
Dec 10, 2020
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TOTAL LONGTERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Gayle M Washington
Title
Credentialing Coordinator
Phone
(303) 912-7193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

1303 E 11TH St
Loveland, CO 80537-5051

Mailing address

8950 E Lowry Blvd
Denver, CO 80230-7030
Phone (303) 091-2719

Other identifiers 1

IdentifierTypeStateIssuer
21904863MedicaidCO

Other names 1

  • InnovAge Colorado PACE Loveland Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2291801Total Longterm Care, Inc1303 E 11TH Street, Loveland, CO 80537Certificate of waiverOct 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Total Long Term Care9 organizations share this tax ID, including this one
Part of
Total Long Term Care

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1303 E 11th St
Loveland, CO 80537
Phone (970) 800-5402

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1184220485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 E LOWRY BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307030",
            "telephone_number": "303-091-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E 11TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375051",
            "telephone_number": "970-800-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LONGTERM CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL LONGTERM CARE, INC.",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "303-912-7193"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21904863",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovAge Colorado PACE Loveland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InnovAge Colorado PACE Loveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.