Provider Demographics
NPI:1679728125
Name:TOTAL CARE NURSING LLC
Entity type:Organization
Organization Name:TOTAL CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA-JEANNE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:LEWALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-776-3442
Mailing Address - Street 1:PO BOX 2743
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80539-2743
Mailing Address - Country:US
Mailing Address - Phone:970-776-3442
Mailing Address - Fax:
Practice Address - Street 1:2300 W EISENHOWER BLVD
Practice Address - Street 2:STE 200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-3150
Practice Address - Country:US
Practice Address - Phone:970-776-3442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health