JNB Headwaters, LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

JNB HEADWATERS, LLC

Practice address

16791 S Brynmawr Rd
Pine, CO 80470-8855

Phone

(303) 838-9784

Fax

(303) 838-9784

NPI assigned

Oct 7, 2016

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James A OwsianyNPI 1962875351

Title

Director

Phone

(720) 202-1268

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James A Owsiany

  • Respite Care
  • Pine, CO
  • NPI 1962875351
  NPD (past) Authorized official

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1356891907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16791 S BRYNMAWR RD",
            "city": "PINE",
            "state": "CO",
            "postal_code": "804708855",
            "telephone_number": "303-838-9784",
            "fax_number": "303-838-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16791 S BRYNMAWR RD",
            "city": "PINE",
            "state": "CO",
            "postal_code": "804708855",
            "telephone_number": "303-838-9784",
            "fax_number": "303-838-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNB HEADWATERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "OWSIANY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-202-1268"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Beckwith
• Burgoyne Ventures (Denver Amramp)
• Nancy E Houser-Bluhm, M.A. CCC
• Chere Nieto, RDN
• Ryan Collin Olson, MS, LPC
• James A Owsiany
• Rebecca Ann Pearson-Phillips, DIPL. AC., L.AC.,
• Kristina Lynn Peterson

• Child Intellectual and/or Developmental Disabilities Respite Care in Pine, CO
• Providers in Pine, CO by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.