NPIMap

Organization Active NPI

Total Longterm Care, Inc.

  • PACE Provider Organization
  • Aurora, CO
National Provider Identifier
1750987053
Registry record updated Dec 10, 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 Aurora
Practice address
3551 Chambers Rd
Aurora, CO 80011-1330
Phone
(303) 375-0639
NPI assigned
Dec 10, 2020
Organization subpart
Yes
Parent organization
TOTAL LONGTERM CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 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 Coordinator
Phone
(303) 912-7193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

3551 Chambers Rd
Aurora, CO 80011-1330

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
04000881MedicaidCO

Other names 1

  • InnovAge Colorado PACE Aurora 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
06D2178985Total Longterm Care, Inc3551 N Chambers Rd, Aurora, CO 80011Certificate 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.

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": "1607558400000",
    "number": "1750987053",
    "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": "3551 CHAMBERS RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800111330",
            "telephone_number": "303-375-0639"
        }
    ],
    "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": "2020-12-10",
        "certification_date": "2020-12-10",
        "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": "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": "04000881",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnovAge Colorado PACE Aurora",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.