Organization Active NPI

Teamselect Home Care of Colorado, LLC

  • Home Health Agency
  • Broomfield, CO
National Provider Identifier
1730705013
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TEAMSELECT HOME CARE OF COLORADO, LLC
Practice address
11001 W 120TH Ave Ste 140
Broomfield, CO 80021-8018
Phone
(720) 547-9203
Fax
(720) 547-9202
NPI assigned
Jun 22, 2020
Organization subpart
Yes
Parent organization
TEAMSELECT HOME CARE OF COLORADO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Mike Lovell
Title
Vice President
Phone
(602) 382-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11001 W 120TH Ave Ste 140
Broomfield, CO 80021-8018

Mailing address

2999 N 44TH St Ste 100
Phoenix, AZ 85018-7247
Phone (602) 382-8500

Other names 1

  • Team Select Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019000405 CO Part A Provider - Home Health Agency 7618160060 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aurora, CO; Pueblo, CO; Colorado Springs, CO; Loveland, CO

Home health agency certification: CCN 067490

Legal name
TEAMSELECT HOME CARE OF COLORADO, LLC
Doing business as
TEAMSELECT HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 22, 2011
Last certification
May 25, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 3, 2010 in CO
Enrollment address
3025 S Parker Rd
Ste 930
Aurora, CO 80014-2948

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Team Select Home Care of Colorado LLCCCN 067490
Ownership
Proprietary
Certified
Jun 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Part of
Teamselect Home Care of Colorado LLC

Locations

2595 Canyon Blvd
Ste 115
Boulder, CO 80302
Phone (720) 547-9203

3855 Precision Dr
Ste 150
Loveland, CO 80538
Phone (970) 206-8288

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Lovell Individual 5% Or Greater Indirect Ownership InterestPresident Oct 2, 2017 12.35%
Corporate OfficerVice President Sep 9, 2010
Team Select Holdings LLC Organization, Phoenix, AZ LLC 5% Or Greater Direct Ownership Interest Sep 1, 2016 100%
TS Investors LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
Susan Valocchi Individual Corporate OfficerSecretary May 5, 2023
CSC TS Parent LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023
Melissa Dionne Individual W-2 Managing Employee Jun 5, 2023
CSC TS Holdings LP Organization, Phoenix, AZ 5% Or Greater Indirect Ownership Interest May 4, 2023 66.79%
CSC TS Management LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023
TS TCM Investors, LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Oct 2, 2017 7.24%
TS Holdco Parent LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023 100%
Frederick Johnson Individual Corporate OfficerPresident May 4, 2023
Mark Kuleck Individual Corporate OfficerChief Financial Officer Apr 15, 2025
CSC TS Acquisition LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023
JCML Holdings LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest Oct 2, 2017 14.48%
CSC TS Intermediate LLC Organization, Phoenix, AZ LLC 5% Or Greater Indirect Ownership Interest May 4, 2023

Practitioners & affiliated clinicians

Practitioners 1

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1730705013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N 44TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187247",
            "telephone_number": "602-382-8500",
            "fax_number": "602-253-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 W 120TH AVE STE 140",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218018",
            "telephone_number": "720-547-9203",
            "fax_number": "720-547-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMSELECT HOME CARE OF COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAMSELECT HOME CARE OF COLORADO, LLC",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-382-8500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.