Provider Demographics
NPI:1386072791
Name:TONI L. MALDONADO & ASSOCIATES, LLC
Entity type:Organization
Organization Name:TONI L. MALDONADO & ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER (LLC)
Authorized Official - Prefix:MS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:720-274-9641
Mailing Address - Street 1:7333 W JEFFERSON AVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2034
Mailing Address - Country:US
Mailing Address - Phone:720-274-9641
Mailing Address - Fax:720-274-9648
Practice Address - Street 1:7333 W JEFFERSON AVE
Practice Address - Street 2:SUITE 270
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2034
Practice Address - Country:US
Practice Address - Phone:720-274-9641
Practice Address - Fax:720-274-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04G499253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care