Provider Demographics
NPI:1477556934
Name:TRU COMMUNITY CARE
Entity Type:Organization
Organization Name:TRU COMMUNITY CARE
Other - Org Name:HOSPICE OF BOULDER COUNTY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GRESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-604-5241
Mailing Address - Street 1:2594 TRAILRIDGE DRIVE EAST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3187
Mailing Address - Country:US
Mailing Address - Phone:303-449-7740
Mailing Address - Fax:303-604-5393
Practice Address - Street 1:2594 TRAILRIDGE DRIVE EAST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3187
Practice Address - Country:US
Practice Address - Phone:303-449-7740
Practice Address - Fax:303-604-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO170324207RH0002X
CO0179251G00000X
CO17R718315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty
No315D00000XNursing & Custodial Care FacilitiesHospice, InpatientGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37888871Medicaid
CO05800099Medicaid
CO37888871Medicaid