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KEYSTONE HOME HEALTH AGENCY LLC NPI 1952934952


NPI Information

NPI: 1952934952
Provider Name: KEYSTONE HOME HEALTH AGENCY LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
11111 E MISSISSIPPI AVE UNIT 112
AURORA, CO
ZIP 80012
Phone: (303) 755-5542
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KEYSTONE HOME HEALTH AGENCY LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Aurora, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KEYSTONE HOME HEALTH AGENCY LLC NPI is 1952934952. The provider is registered as an organization entity type.

The provider's business location address is:

11111 E MISSISSIPPI AVE UNIT 112
AURORA, CO
ZIP 80012-106
Phone: (303) 755-5542

The provider's authorized official is Fatimah Johnson .
The authorized official title is Owner and has the following contact phone number (303) 755-5542.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 12/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2251E00000XHome HealthNo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.