NPIMap

Organization Active NPI

Teamselect Home Care of Colorado, LLC

  • Home Health Agency
  • Pueblo, CO
National Provider Identifier
1871198952
Registry record updated Dec 4, 2020
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
1407 Fortino Blvd
Pueblo, CO 81008-8100
Phone
(719) 292-1231
Fax
(719) 292-1230
NPI assigned
Dec 4, 2020
Organization subpart
Yes
Parent organization
TEAMSELECT HOME CARE OF COLORADO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Susan Valocchi
Title
Chief Compliance Officer
Phone
(602) 288-4059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1407 Fortino Blvd
Pueblo, CO 81008-8100

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9000160968MedicaidCO

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
Tax ID family
Teamselect Home Care of Colorado LLC9 organizations share this tax ID, including this one
Part of
Teamselect Home Care of Colorado LLC

Other organizations with this tax ID 8

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

Locations

1407 Fortino Blvd
Pueblo, CO 81008
Phone (719) 292-1231

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

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1871198952",
    "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": "1407 FORTINO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810088100",
            "telephone_number": "719-292-1231",
            "fax_number": "719-292-1230"
        }
    ],
    "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": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "VALOCCHI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "602-288-4059"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000160968",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Team Select Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.