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Organization
ABOUT KIDS HOME CARE NORTH LLC
Active
Organization
ABOUT KIDS HOME CARE NORTH LLC
Active
Other names
About Kids Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PICKERILL (OWNER/MEMBER/CEO)
(719) 644-1119
Entity
Organization
Contact information
Practice address
200 W CITY CENTER DR STE 200A, PUEBLO, CO 81003-1024
(719) 387-7775
(303) 223-0084
Mailing address
16270 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2074
(719) 644-1119
(303) 223-0084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000228129
—
CO
01
—
O4E516
MEDICARE
—
Enumeration date
12/02/2020
Last updated
11/04/2024
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