NPIMap

Organization Active NPI

Total Longterm Care, Inc

Doing business as InnovAge Colorado PACE-Lakewood

  • PACE Provider Organization
  • Lakewood, CO
National Provider Identifier
1639770183
Registry record updated Nov 2, 2020
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-Lakewood
Practice address
8405 W Alameda Ave
Lakewood, CO 80226-2908
Phone
(720) 974-5400
NPI assigned
Nov 2, 2020
Organization subpart
Yes
Parent organization
TOTAL LONGTERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

8405 W Alameda Ave
Lakewood, CO 80226-2908

Mailing address

8950 E Lowry Blvd
Denver, CO 80230-7030
Phone (303) 912-7193

Other names 1

  • InnovAge Colorado PACE-Lakewood 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
06D2178987Total Longterm Care, Inc8405 W Alameda Ave, Lakewood, CO 80226Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory
Tax ID family
Total Longterm Care Inc9 organizations share this tax ID, including this one
Part of
Total Longterm Care Inc

Other organizations with this tax ID 8

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

Locations

8405 W Alameda Ave
Lakewood, CO 80226
Phone (720) 974-5400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1639770183",
    "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": "303-912-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262908",
            "telephone_number": "720-974-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LONGTERM CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOTAL LONGTERM CARE, INC.",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "303-912-7193"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovAge Colorado PACE-Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.