Healthcare Provider Details

I. General information

NPI: 1447168745
Provider Name (Legal Business Name): HEARTFELT SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 S LIMA CT
AURORA CO
80014-4911
US

IV. Provider business mailing address

2255 S LIMA CT
AURORA CO
80014-4911
US

V. Phone/Fax

Practice location:
  • Phone: 720-546-2447
  • Fax:
Mailing address:
  • Phone: 720-546-2447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TENNEH S JUSU
Title or Position: DIRECTOR/MANAGER
Credential:
Phone: 720-546-2447