The Loom Connection, LLC
Organization Active NPI Hearing and Speech Clinic/Center · Timnath, CO
NPI 1295573012 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1295573012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- Legal business name
- THE LOOM CONNECTION, LLC
- Practice address
- 5725 Isabella Ave
Timnath, CO 80547-4497 - Phone
- (720) 575-2318
- NPI assigned
- Jul 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jessica Lee Cortez, MA, CCC-SLP, CBIS
- Title
- Speech Language Patholigist
- Phone
- (720) 575-2318
Practitioners 1
-
Jessica Lee Cortez, MA, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250716000039 | CO | Part B Supplier - Clinic/Group Practice | 7517472830 |
Receives reassigned benefits from 1 practitioner Practice locations: Timnath, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Yes |
Addresses
Primary practice location
5725 Isabella Ave
Timnath, CO 80547-4497
Mailing address
PO Box 351
Timnath, CO 80547-0351
Phone (720) 575-2318
Other providers in Timnath, CO
- Kenneth Spencer Steffen
- Danielle Renie Street
- Summit Therapy Group LLC
- Brianna Maria Szostak
- Loni Nichol Thalheimer
- Timnath Eye Care
- Timnath Kids Dentistry
- Triofort Care LLC
- Holly Truong
- Anna Grace Venardi
All providers in Timnath, CO · Hearing and Speech Clinic/Center in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.