JJS Adult Day Program LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

JJS ADULT DAY PROGRAM LLC

Practice address

986 Nucla St
Aurora, CO 80011-4343

Phone

(720) 400-0994

NPI assigned

Feb 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Michael Pennebaker

Title

Owner/Director

Phone

(720) 400-0994

Specialties & licenses 2

Addresses

Other names 1

• JJS DAY PROGRAM Other name

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1356096945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 NUCLA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800114343",
            "telephone_number": "720-400-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 NUCLA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800114343",
            "telephone_number": "720-400-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJS ADULT DAY PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "PENNEBAKER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "720-400-0994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJS DAY PROGRAM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JJS DAY PROGRAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.