Jacob House

Primary specialty

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

Legal business name

JACOB HOUSE

Practice address

13420 W Warren Ave
Lakewood, CO 80228-4616

Phone

(303) 525-6141

NPI assigned

Mar 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. David Hope Mitchell

Title

Owner

Phone

(303) 525-6141

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1619479441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 W WARREN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284616",
            "telephone_number": "303-525-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 W WARREN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802284616",
            "telephone_number": "303-525-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-525-6141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "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": []
}

• Cody F. Jackson, OD
• Elizabeth C Jackson, MA, LPC, LAC
• Mary Elizabeth Jackson, PHARM.D.
• Zoe E Jackson, LCSW
• Jacob House
• Tiffany Jacobs
• Tina Marie Jacobs, PA
• Layne Russell Jacobson, MA, LPC, LAC
• Rebecca Jacobson
• Taylor Jacobson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lakewood, CO
• Providers in Lakewood, 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 Apr 16, 2018; 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.