Jefferson Hills Corporation

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

12284 Issued in CO

Legal business name

JEFFERSON HILLS CORPORATION

Doing business as

Jefferson Hills Lakewood

Practice address

1290 S Potomac St
Aurora, CO 80012-4524

Phone

(303) 745-1281

Fax

(303) 671-2854

NPI assigned

Mar 27, 2007

Organization subpart

Yes

Parent organization

JEFFERSON HILLS CORPORATIONAs reported in NPPES

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

Authorized official

Name

Christine Ellis

Title

Controller

Phone

(303) 969-3822

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jefferson Hills Lakewood Doing business as

Tax ID family

Jefferson Hills Corporation2 organizations share this tax ID, including this one

Part of

Jefferson Hills Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jefferson Hills Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lakewood, CO
  • NPI 1548388325
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1760500557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124524",
            "telephone_number": "303-745-1281",
            "fax_number": "303-671-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124524",
            "telephone_number": "303-745-1281",
            "fax_number": "303-671-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HILLS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON HILLS CORPORATION",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "303-969-3822"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CO",
            "license": "12284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61786861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Hills Lakewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Jean-Marie, MD
• Rachel Jecker
• Pavel Jedlicka, MD
• Alexiss Jeffers
• Rebecca Jeffers, M.D.
• Kendra Jeffres
• Dillon Jeffries
• Erika Jekich, PA-C
• Christine Therese Jelinek-Berents, MD
• Adisu Zewdie Jembrie

• Emotionally Disturbed Childrens' Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.