MEDICARE: FRESH 2 DEATH PEER SUPPORT, LLC

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1215742655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRESH 2 DEATH PEER SUPPORT, LLC

Provider Business Mailing Address
First Line	:	3912 S CARSON ST UNIT 203
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-7124
Country	:	US
Telephone Number	:	720-451-4359
Fax Number	:

Provider Business Practice Location Address
First Line	:	3014 VICTOR ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80011-2017
Country	:	US
Telephone Number	:	720-451-4359
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOSES JONES IV
Credential	:
Telephone Number	:	720-451-4359

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

Similar Medicare Providers

1316759046 — MOSES L JONES IV
Practice Location Address:

3014 VICTOR ST
AURORA, CO
80011-2017

Practice Phone: 720-451-4359
Practice Fax:

1861204596 — 5280 FRESH START,LLC
Practice Location Address:

3014 VICTOR ST
AURORA, CO
80011-2017

Practice Phone: 720-451-4359
Practice Fax:

1902732639 — SAM TRANSPORTATION LLC
Practice Location Address:

15755 E CENTER AVE
AURORA, CO
80017-2017

Practice Phone: 720-297-2640
Practice Fax:

1487217030 — COMFORT CARE TRANSIT LLC
Practice Location Address:

19951 E 59TH DR
AURORA, CO
80019-2017

Practice Phone: 720-862-6979
Practice Fax:

1356951362 — SOLOMON DEJENE
Practice Location Address:

15755 E CENTER AVE
AURORA, CO
80017-2017

Practice Phone: 720-297-2640
Practice Fax:

1528914645 — WAKE HOME CARE INC
Practice Location Address:

2303 S VAUGHN WAY APT 403
AURORA, CO
80014-2017

Practice Phone: 720-435-7690
Practice Fax:

Directions to “FRESH 2 DEATH PEER SUPPORT, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.