Provider Demographics
NPI:1215444146
Name:IN HONOR OF JADE LLC DBA TALEM HOME CARE COLORADO SPRINGS
Entity type:Organization
Organization Name:IN HONOR OF JADE LLC DBA TALEM HOME CARE COLORADO SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRE CTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDON
Authorized Official - Middle Name:
Authorized Official - Last Name:PURDHAM
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:719-464-5177
Mailing Address - Street 1:3230 E WOODMEN RD STE 110G
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-8502
Mailing Address - Country:US
Mailing Address - Phone:719-639-2663
Mailing Address - Fax:
Practice Address - Street 1:3230 E. WOODMEN ROAD
Practice Address - Street 2:SUITE 110, OFFICE E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-464-5177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-30
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care