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NPI Code Detail

MEDICARE: JOS LLC

MEDICARE: JOS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1699611178
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOS LLC
Provider Business Mailing Address
First Line : 2696 S COLORADO BLVD STE 445
Second Line :
City : DENVER
State : CO
Zip : 80222-5947
Country : US
Telephone Number : 802-505-1660
Fax Number :
Provider Business Practice Location Address
First Line : 2696 S COLORADO BLVD STE 445
Second Line :
City : DENVER
State : CO
Zip : 80222-5947
Country : US
Telephone Number : 802-505-1660
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. CONNOR SEAMUS DWYER
Credential :
Telephone Number : 802-505-1660
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “JOS LLC ” Practice Location

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