Healthcare Provider Details

I. General information

NPI: 1912823436
Provider Name (Legal Business Name): JESSICA MALTOS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA HUTCHISON CNA

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2608 32ND ST UNIT 102
EVANS CO
80620-3436
US

IV. Provider business mailing address

2608 32ND ST UNIT 102
EVANS CO
80620-3436
US

V. Phone/Fax

Practice location:
  • Phone: 970-587-3199
  • Fax:
Mailing address:
  • Phone: 970-587-3199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: