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NPI Code Detail

MEDICARE: JAC GROUP LLC

MEDICARE: JAC GROUP 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1285214726
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAC GROUP LLC
Provider Business Mailing Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 720-726-3789
Fax Number : 720-246-2920
Provider Business Practice Location Address
First Line : 8310 S VALLEY HWY STE 300
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-5815
Country : US
Telephone Number : 720-726-3799
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MR. C.W. HURST
Credential :
Telephone Number : 480-433-4804
Provider Enumeration Date : 04/09/2021
Last Update Date : 03/29/2024

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Directions to “JAC GROUP LLC ” Practice Location

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