# ABOUT KIDS HOME CARE NORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** About Kids Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316542806
- **Authorized official:** JASON PICKERILL (OWNER/MEMBER/CEO)
- **Authorized official phone:** (719) 644-1119

## Contact information

- **Practice address:** 200 W CITY CENTER DR STE 200A, PUEBLO, CO 81003-1024
- **Practice address phone:** (719) 387-7775
- **Practice address fax:** (303) 223-0084
- **Mailing address:** 16270 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2074
- **Mailing address phone:** (719) 644-1119
- **Mailing address fax:** (303) 223-0084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2020
- **Last updated:** 11/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000228129 | — | CO |
| 01 | — | O4E516 | MEDICARE | — |