Provider Demographics
NPI:1497520597
Name:ABOUT KIDS AND ADULTS HOME HEALTH LLC
Entity Type:Organization
Organization Name:ABOUT KIDS AND ADULTS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-252-3725
Mailing Address - Street 1:16270 FOREST LIGHT DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80908-2074
Mailing Address - Country:US
Mailing Address - Phone:719-644-1119
Mailing Address - Fax:
Practice Address - Street 1:11225 N 28TH DR STE D115I
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5609
Practice Address - Country:US
Practice Address - Phone:623-252-3725
Practice Address - Fax:303-223-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health