Provider Demographics
NPI:1710769955
Name:TJH NUTRITION LLC
Entity Type:Organization
Organization Name:TJH NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TUESDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOELSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:817-773-8279
Mailing Address - Street 1:277 HOMESTEAD LN
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:CO
Mailing Address - Zip Code:80816-8923
Mailing Address - Country:US
Mailing Address - Phone:817-773-8279
Mailing Address - Fax:
Practice Address - Street 1:277 HOMESTEAD LN
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:CO
Practice Address - Zip Code:80816-8923
Practice Address - Country:US
Practice Address - Phone:817-773-8279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty