Healthcare Provider Details

I. General information

NPI: 1932065570
Provider Name (Legal Business Name): JELEINE CROWLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23544 E COLORADO PL UNIT 203
AURORA CO
80018-6252
US

IV. Provider business mailing address

23544 E COLORADO PL UNIT 203
AURORA CO
80018-6252
US

V. Phone/Fax

Practice location:
  • Phone: 719-400-0475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: