Healthcare Provider Details

I. General information

NPI: 1861135170
Provider Name (Legal Business Name): JJ HOUSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/27/2022
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24163 E 2ND DR
AURORA CO
80018-1597
US

IV. Provider business mailing address

24163 E 2ND DR.
AURORA CO
80018-1597
US

V. Phone/Fax

Practice location:
  • Phone: 720-937-1764
  • Fax:
Mailing address:
  • Phone: 720-937-1764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMILA ALI
Title or Position: DIRECTOR
Credential:
Phone: 720-937-1764