MEDICARE: F.EJOYHOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility		CO

General Provider Information

NPI Number	:	1033581475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F.EJOYHOMECARE

Provider Business Mailing Address
First Line	:	5308 SOUTH TELLURIDE WAY
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015
Country	:	US
Telephone Number	:	720-209-2983
Fax Number	:

Provider Business Practice Location Address
First Line	:	5308 S TELLURIDE WAY
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80015-2647
Country	:	US
Telephone Number	:	720-209-2983
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAUL TERAILLEUR
Credential	:
Telephone Number	:	720-209-2983

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	07/21/2022

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