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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