Active NPI
Joyvida LLC
- In Home Supportive Care Agency
- Palmer Lake, CO
National Provider Identifier
1043817554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- JOYVIDA LLC
- Practice address
- 755 Highway 105 Ste D
Palmer Lake, CO 80133-8902 - Phone
- (719) 377-9121
- Fax
- (719) 355-8382
- NPI assigned
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ken A Jenson
- Title
- Owner Ceo
- Phone
- (719) 377-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
755 Highway 105 Ste D
Palmer Lake, CO 80133-8902
Mailing address
755 Highway 105 Ste D
Palmer Lake, CO 80133-8902
Phone (719) 377-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755105 | Other | CO | INSURANCE |
Other names 1
- Amada Senior Care
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ken.j@amadaseniorcare.com | Direct | |
| Direct Messaging Address | ken.j@amadaseniorcare.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Palmer Lake, CO
- NPI 1962074179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690761600000",
"number": "1043817554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 HIGHWAY 105 STE D",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801338902",
"telephone_number": "719-377-9121",
"fax_number": "719-355-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 HIGHWAY 105 STE D",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801338902",
"telephone_number": "719-377-9121",
"fax_number": "719-355-8382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYVIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-07",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A",
"authorized_official_last_name": "JENSON",
"authorized_official_first_name": "KEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER CEO",
"authorized_official_telephone_number": "719-377-9121"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE",
"identifier": "755105",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ken.j@amadaseniorcare.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "755 Highway 105 Ste D",
"city": "Palmer Lake",
"state": "CO",
"country_code": "US",
"postal_code": "801338902",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ken.j@amadaseniorcare.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "755 Highway 105 Ste D",
"city": "Palmer Lake",
"state": "CO",
"country_code": "US",
"postal_code": "801338902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Amada Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palmer Lake, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.