Healthcare Provider Details

I. General information

NPI: 1225743453
Provider Name (Legal Business Name): LEARNING SERVICES HOME AND COMMUNITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/23/2023
Certification Date: 01/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 S BELLAIRE ST STE 410
DENVER CO
80222-4323
US

IV. Provider business mailing address

325 MIRON DR STE 150
SOUTHLAKE TX
76092-7833
US

V. Phone/Fax

Practice location:
  • Phone: 303-753-0309
  • Fax:
Mailing address:
  • Phone: 737-600-5831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KELLY FUSCO RAMSEY
Title or Position: VICE PRESIDENT
Credential:
Phone: 737-600-5831