Organization
KEYSTONE HOME HEALTH AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FATIMAH JOHNSON (OWNER)
(303) 755-5542
Entity
Organization
Contact information
Practice address
11111 E MISSISSIPPI AVE UNIT 112, AURORA, CO 80012-3106
(303) 755-5542
Mailing address
11111 E MISSISSIPPI AVE STE 112, AURORA, CO 80012-3186
(303) 755-5542
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/18/2020
Last updated
09/05/2025
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