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General NPI Number Information
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NPI Number | 1144779414
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Entity Type | Organization
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Legal Business Name | JJN HOME HEALTH AGENCY INC.
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 515 FOX RUN CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3032
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Country | US
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Telephone | 719-271-4317
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Fax |
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Provider Business Mailing Address
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Address Line | 515 FOX RUN CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3032
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Country | US
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Telephone | 719-271-4317
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER J NELSON
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Credential |
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Telephone | 719-271-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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