Provider Demographics
NPI:1659403160
Name:TCPS ENTERPRISES LLC
Entity Type:Organization
Organization Name:TCPS ENTERPRISES LLC
Other - Org Name:TENDER CARE PEDIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOGFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-686-5437
Mailing Address - Street 1:8865 LONGS PEAK CIR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-2568
Mailing Address - Country:US
Mailing Address - Phone:970-686-5437
Mailing Address - Fax:970-686-6016
Practice Address - Street 1:8865 LONGS PEAK CIR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-2568
Practice Address - Country:US
Practice Address - Phone:970-686-5437
Practice Address - Fax:970-686-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73177857Medicaid
CO067463Medicare ID - Type UnspecifiedPROVIDER NUMBER