TCAL2 (NPI# 1881294825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881294825 |
| Entity Type | Organization |
| Organization Name | TCAL2 |
| Practice Address |
1069 S Teller St Lakewood CO 80226-4554 |
| Mailing Address |
3408 S Patton Way Denver CO 80236-2426 |
| Practice Telephone | 3036676890 |
| Practice Fax Number | 3039752472 |
| Mailing Telephone | 3036676890 |
| Mailing Fax Number | 3039752472 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | JUSTIN BENNETT WILEY (OWNER) |
| Authorized Official Telephone | 3036676890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| Street Address |
1069 S TELLER ST |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-4554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1972076958 | Deshano Care Centers LLC | Assisted Living Facility | 9232 W Texas Dr, Lakewood, CO 80232-5100 | 2019-01-02 |
| 1740762061 | Deshano Care Centers LLC | Assisted Living Facility | 1975 Owens Ct, Lakewood, CO 80215-2732 | 2018-09-04 |
| 1932681335 | Deshano Care Centers LLC | Assisted Living Facility | 3225 S Reed Ct, Lakewood, CO 80227-5216 | 2018-08-31 |
| 1619425881 | The Rising Sun Senior Home Inc. | Assisted Living Facility | 421 S Fenton St, Lakewood, CO 80226-3556 | 2016-09-16 |
| 1134592108 | Peris Mungai | Assisted Living Facility | 11922 Nyanza Rd Sw, Lakewood, WA 98499-1438 | 2015-11-12 |
| 1457736399 | Senior Housing Investors II, LLC | Assisted Living Facility | 10420 Gravelly Lake Dr Sw, Lakewood, WA 98499-5041 | 2015-07-21 |
| 1447634266 | Fs Leisure Park Tenant Trust | Assisted Living Facility | 1400 Route 70, Lakewood, NJ 08701-5949 | 2015-07-10 |
| 1134514961 | Lakewood Health Care Center, Inc. | Assisted Living Facility | 13323 Detroit Ave, Lakewood, OH 44107-2849 | 2015-03-30 |
| Find all providers in LAKEWOOD | ||||
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| 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.