Healthcare Provider Details

I. General information

NPI: 1205785367
Provider Name (Legal Business Name): MY FRIEND'S HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 W NEVADA PL
DENVER CO
80223-2016
US

IV. Provider business mailing address

17319 PAOLI WAY
PARKER CO
80134-7540
US

V. Phone/Fax

Practice location:
  • Phone: 303-418-9313
  • Fax:
Mailing address:
  • Phone: 303-418-9313
  • 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 Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JENNY BARZEGAR
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 303-418-9313