Healthcare Provider Details

I. General information

NPI: 1215720024
Provider Name (Legal Business Name): TRUSTED CAREGIVERS OF COLORADO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21355 E 53RD AVE
DENVER CO
80249-8358
US

IV. Provider business mailing address

21355 E 53RD AVE
DENVER CO
80249-8358
US

V. Phone/Fax

Practice location:
  • Phone: 720-431-2188
  • Fax:
Mailing address:
  • Phone: 720-431-2188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: OLUCHI NDUBUISI-EZEASOR
Title or Position: OWNER
Credential: DIR
Phone: 720-431-2188