MEDICARE: JMB HOUSING 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1356279913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMB HOUSING LLC

Provider Business Mailing Address
First Line	:	3811 E IRWIN PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-3505
Country	:	US
Telephone Number	:	720-248-8577
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 E IRWIN PL
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-3505
Country	:	US
Telephone Number	:	720-248-8577
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIE BUTSCHER
Credential	:	LCSW
Telephone Number	:	720-248-8577

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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