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TOTAL LONGTERM CARE INC NPI 1396332946


NPI Information

NPI: 1396332946
Provider Name: TOTAL LONGTERM CARE, INC
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
401 W NORTHERN AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 553-0400
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TOTAL LONGTERM CARE, INC is a program of all inclusive care for the elderly pace provider organization in Pueblo, CO. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. TOTAL LONGTERM CARE, INC NPI is 1396332946. The provider is registered as an organization entity type.

The provider's business location address is:

401 W NORTHERN AVE
PUEBLO, CO
ZIP 81004-111
Phone: (719) 553-0400

The provider's authorized official is Gayle M Washington .
The authorized official title is Credentialing Coordinator and has the following contact phone number (303) 912-7193.

The enumeration date for this NPI number is 12/30/2020 and was last updated on 12/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1O1336363MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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