Healthcare Provider Details

I. General information

NPI: 1477556934
Provider Name (Legal Business Name): TRU COMMUNITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2594 TRAILRIDGE DRIVE EAST
LAFAYETTE CO
80026-3187
US

IV. Provider business mailing address

2594 TRAILRIDGE DRIVE EAST
LAFAYETTE CO
80026-3187
US

V. Phone/Fax

Practice location:
  • Phone: 303-449-7740
  • Fax: 303-604-5393
Mailing address:
  • Phone: 303-449-7740
  • Fax: 303-604-5393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0179
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number17R718
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number170324
License Number StateCO

VIII. Authorized Official

Name: SAMANTHA BLACK
Title or Position: CEO
Credential:
Phone: 303-449-7740