Provider Demographics
NPI:1831225614
Name:TLC CARE CHOICES INC.
Entity type:Organization
Organization Name:TLC CARE CHOICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-888-8051
Mailing Address - Street 1:23 SCOTT DR N
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1139
Mailing Address - Country:US
Mailing Address - Phone:303-888-8051
Mailing Address - Fax:
Practice Address - Street 1:1620 E RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3755
Practice Address - Country:US
Practice Address - Phone:970-867-5336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL0957310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53759371Medicaid
CO52280764Medicaid
CO61528340Medicaid
CO05589754Medicaid
CO77880846Medicaid
CO86101846Medicaid