Provider Demographics
NPI:1730705013
Name:TEAMSELECT HOME CARE OF COLORADO, LLC
Entity type:Organization
Organization Name:TEAMSELECT HOME CARE OF COLORADO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-382-8500
Mailing Address - Street 1:2999 N 44TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7247
Mailing Address - Country:US
Mailing Address - Phone:602-382-8500
Mailing Address - Fax:602-253-5656
Practice Address - Street 1:11001 W 120TH AVE STE 140
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8018
Practice Address - Country:US
Practice Address - Phone:720-547-9203
Practice Address - Fax:720-547-9202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEAMSELECT HOME CARE OF COLORADO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health