Organization
AUTONOMY 365 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET KIMBLE (EXECUTIVE DIRECTOR)
(732) 977-6497
Entity
Organization
Contact information
Practice address
23165 BAY OAKS AVE, PARKER, CO 80138-5746
(732) 977-6497
Mailing address
23165 BAY OAKS AVE, PARKER, CO 80138-5746
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347E00000X
Transportation Broker
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/16/2023
Last updated
12/01/2025
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