Organization Active NPI

Jac Group LLC

  • In Home Supportive Care Agency
  • Englewood, CO
National Provider Identifier
1285214726
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JAC GROUP LLC
Practice address
8310 S Valley Hwy Ste 300
Englewood, CO 80112-5815
Phone
(720) 726-3799
NPI assigned
Apr 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. C.W. Hurst
Title
Partner
Phone
(480) 433-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8310 S Valley Hwy Ste 300
Englewood, CO 80112-5815

Mailing address

8310 S Valley Hwy Ste 300
Englewood, CO 80112-5815
Phone (720) 726-3789

Other names 1

  • A Place at Home Doing business as

National Provider Directory

National Provider Directory

Locations

8687 E Via de Ventura
Ste 218
Scottsdale, AZ 85258
Phone (214) 762-0155

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1285214726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 S VALLEY HWY STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125815",
            "telephone_number": "720-726-3789",
            "fax_number": "720-246-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 S VALLEY HWY STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125815",
            "telephone_number": "720-726-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "C.W.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-433-4804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Place at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.