MEDICARE: JACOB HOUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1447038591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACOB HOUSE

Provider Business Mailing Address
First Line	:	2700 YOUNGFIELD ST STE 206
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-7079
Country	:	US
Telephone Number	:	303-525-6141
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 YOUNGFIELD ST STE 206
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-7079
Country	:	US
Telephone Number	:	303-525-6141
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID HOPE MITCHELL
Credential	:	PH.D.
Telephone Number	:	303-525-6141

Provider Enumeration Date	:	09/19/2023
Last Update Date	:	12/29/2025

Similar Medicare Providers

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Practice Location Address:

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1497537682 — DAVID HOPE MITCHELL DBA JACOB HOUSE
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Directions to “JACOB HOUSE ” Practice Location

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