Healthcare Provider Details

I. General information

NPI: 1003749110
Provider Name (Legal Business Name): ADELETTE TEMBEI TEMBEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 S RIFLE WAY
AURORA CO
80013-3240
US

IV. Provider business mailing address

4024 S RIFLE WAY
AURORA CO
80013-3240
US

V. Phone/Fax

Practice location:
  • Phone: 719-895-0321
  • Fax:
Mailing address:
  • Phone: 719-895-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number00817523
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: