Healthcare Provider Details

I. General information

NPI: 1821775461
Provider Name (Legal Business Name): TLC PRIVATE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 E QUINCY AVE
DENVER CO
80237-2255
US

IV. Provider business mailing address

6300 E HAMPDEN AVE UNIT C365
DENVER CO
80222-7678
US

V. Phone/Fax

Practice location:
  • Phone: 720-909-4286
  • Fax:
Mailing address:
  • Phone: 720-909-4286
  • 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 Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. ELEASE DENISE CHAMBLISS
Title or Position: CNA
Credential:
Phone: 720-909-4286