Organization Active NPI

Jsgllc

  • In Home Supportive Care Agency
  • Colorado Springs, CO
National Provider Identifier
1639760754
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JSGLLC
Practice address
2130 S Academy Blvd Ste 201
Colorado Springs, CO 80916-2473
Phone
(719) 434-2402
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Jason Todd GregoryNPI 1205435021
Title
Owner/Executive Director
Phone
(719) 434-2402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2130 S Academy Blvd Ste 201
Colorado Springs, CO 80916-2473

Mailing address

2130 S Academy Blvd Ste 201
Colorado Springs, CO 80916-2473
Phone (719) 434-2402

Other names 1

  • HomeWell Care Services of Pueblo Doing business as

National Provider Directory

National Provider Directory

Locations

2130 S Academy Blvd
Ste 201
Colorado Springs, CO 80916
Phone (719) 434-2402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1639760754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 S ACADEMY BLVD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162473",
            "telephone_number": "719-434-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 S ACADEMY BLVD STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162473",
            "telephone_number": "719-434-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSGLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "719-434-2402"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services of Pueblo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.