Healthcare Provider Details

I. General information

NPI: 1225629645
Provider Name (Legal Business Name): JNB HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 01/28/2021
Certification Date: 01/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1586 S GOLDBUG CIR
AURORA CO
80018-6045
US

IV. Provider business mailing address

1586 S GOLDBUG CIR
AURORA CO
80018-6045
US

V. Phone/Fax

Practice location:
  • Phone: 720-242-9631
  • Fax:
Mailing address:
  • Phone: 172-036-1635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY KIMBERLY RAMIREZ
Title or Position: CEO
Credential:
Phone: 720-361-6358