Healthcare Provider Details

I. General information

NPI: 1477174696
Provider Name (Legal Business Name): TANDEM COMMUNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2020
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7833 GALILEO WAY
LITTLETON CO
80125-1873
US

IV. Provider business mailing address

7833 GALILEO WAY
LITTLETON CO
80125-1873
US

V. Phone/Fax

Practice location:
  • Phone: 669-224-2066
  • Fax:
Mailing address:
  • Phone: 669-224-2066
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE M GROAT
Title or Position: CEO/OWNER
Credential: MS, OTR/L
Phone: 669-224-2066