JLA SENIOR FOOTCARE CO LLC (NPI# 1124335815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124335815 |
| Entity Type | Organization |
| Organization Name | JLA SENIOR FOOTCARE CO LLC |
| Practice Address |
2101 S Garfield Ave Loveland CO 80537-7377 |
| Mailing Address |
4870 S Aspen Ct Canfield OH 44406-8469 |
| Practice Telephone | 3307020978 |
| Mailing Telephone | 3307020978 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |
| Authorized Official Name | ANTHONY INNOCENZI (OWNER) |
| Authorized Official Telephone | 3307020978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
700 | CO | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2101 S GARFIELD AVE |
| City | LOVELAND |
| State | CO |
| Zip Code | 80537-7377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503728 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2005-10-25 |
| 1407409675 | Tyler James Shearrow | Physical Therapist | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2019-07-17 |
| 1801457619 | Darlene Byers | Occupational Therapy Assistant | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2019-06-23 |
| 1144787052 | Olivia Melgares | Occupational Therapist | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2019-02-27 |
| 1578089116 | Ethan Kitchell | Physical Medicine & Rehabilitation | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2017-08-15 |
| 1427405166 | Robin Lynne Westcott | Occupational Therapy Assistant | 2101 S Garfield Ave, Therapy Department, Loveland, CO 80537-7377 | 2016-05-23 |
| 1134595515 | Good Samaritan Society Services@home | Home Health | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2015-08-19 |
| 1225392566 | Banner Health Physicians Colorado LLC | Clinic/Center | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2012-07-02 |
| 1972862944 | Big Thompson Medical Group Inc | Clinic/Center | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2012-05-11 |
| 1588921548 | Kristina R Kramer | Occupational Therapist | 2101 S Garfield Ave, Loveland, CO 80537-7377 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
| 1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
| 1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
| 1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
| 1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
| 1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
| 1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
| 1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
| Find all providers in zip 80537 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538117627 | Peter D Schultz | Podiatrist | 1440 Boise Ave, Loveland, CO 80538-4214 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346997 | Nwsc Co Dr LLC | Podiatrist | 13402 W Coal Mine Ave # 310, Littleton, CO 80127-5407 | 2019-06-27 |
| 1912324351 | Mark Clark | Podiatrist | 2300 Coronado Rd, Pueblo, CO 81003-1840 | 2014-03-24 |
| 1891989760 | Boulder Valley Foot & Ankle Clinic PC | Podiatrist | 3000 Center Green Dr Ste 230, Boulder, CO 80301-2364 | 2007-09-04 |
| 1770686370 | Allied Foot and Ankle Clinics of Co, PC | Podiatrist | 7720 S Broadway #540, Littleton, CO 80122 | 2006-09-07 |
| 1124060488 | Lee T Fleming | Podiatrist | 1155 Kelly Johnson Blvd Ste 310, Colorado Springs, CO 80920-3959 | 2006-06-12 |
| 1366490666 | Charles J Daniel Jr. | Podiatrist | 201 W Park Dr, Grand Junction, CO 81505-1469 | 2006-05-05 |
| 1780648402 | Ritchie H Steed | Podiatrist | 630 Coffman St, Ste. A, Longmont, CO 80501-8302 | 2006-04-12 |
| 1235119983 | Sterling Foot & Ankle Ctr PC | Podiatrist | 101 Park St, Sterling, CO 80751-4134 | 2006-01-19 |
| 1356694228 | Groth Foot & Ankle Clinic PC | Podiatrist | 3920 N Union Blvd Ste 320, Colorado Spgs, CO 80907-4916 | 2012-10-17 |
| 1417202318 | North Colorado Springs Foot Clinic | Podiatrist | 7730 N Union Blvd, Suite 104, Colorado Springs, CO 80920-4084 | 2012-07-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JLA SENIOR FOOTCARE CO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.