Provider Demographics
NPI:1295026409
Name:NUCLEAR CARE PARTNERS, LLC
Entity Type:Organization
Organization Name:NUCLEAR CARE PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-525-5111
Mailing Address - Street 1:631 24 1/2 ROAD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505
Mailing Address - Country:US
Mailing Address - Phone:888-525-5111
Mailing Address - Fax:888-525-5111
Practice Address - Street 1:631 24 1/2 ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505
Practice Address - Country:US
Practice Address - Phone:888-525-5111
Practice Address - Fax:888-525-5111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20111226977251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management