Provider Demographics
NPI:1649666801
Name:ABOUT KIDS HOME CARE, LLC
Entity type:Organization
Organization Name:ABOUT KIDS HOME CARE, 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:OT
Authorized Official - Phone:719-425-7771
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:303-223-0084
Practice Address - Street 1:200 W CITY CENTER DR STE 200A
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-1024
Practice Address - Country:US
Practice Address - Phone:719-387-7775
Practice Address - Fax:303-223-0084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health