JACK OF ALL TRADES LLC CO (NPI# 1447619457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447619457 |
| Entity Type | Organization |
| Organization Name | JACK OF ALL TRADES LLC CO |
| Practice Address |
2383 S Vaughn Way Apt 101 Aurora CO 80014-2012 |
| Practice Telephone | 7202977542 |
| Practice Fax Number | 3037453393 |
| Mailing Telephone | 7202977542 |
| Mailing Fax Number | 3037453393 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | TAMARA BORUKHOV (PRESIDENT) |
| Authorized Official Telephone | 7202977542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
2016105374600CL | CO | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Jack Of All Trades LLC CO | 13057 E Colorado Ave, Aurora, CO 80012 |
| Street Address |
2383 S VAUGHN WAY APT 101 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1245697416 | Tamara Borukhov | Contractor | 2383 S Vaughn Way, Suite 1-101, Aurora, CO 80014-2018 | 2016-01-19 |
| 1861722068 | Home and Property Services LLC | Contractor | 18753 E Brown Pl, Aurora, CO 80013-2320 | 2010-01-11 |
| 1215169107 | M & M Plumbing and Home Modification, LLC | Contractor | 17531 E Dickenson Pl, Aurora, CO 80013-4179 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884891 | Stratt's Services | Contractor | 1401 E Girard Pl Apt 5-212, Englewood, CO 80113-3102 | 2020-09-04 |
| 1205467925 | Gil Paben | Contractor | 204 N Link Ln Ste 3, Fort Collins, CO 80524-2742 | 2020-01-31 |
| 1740829100 | Andrew Philip Lloyd | Contractor | 934 Waterfall Ln, Durango, CO 81301-3740 | 2020-01-03 |
| 1699312215 | Neighborhood Development Company | Contractor | 1830 S Bannock St Unit 201, Denver, CO 80223-3670 | 2019-12-02 |
| 1619512670 | Darrel Jay Vandeest | Contractor | 2 Bellflower Ct, Pueblo, CO 81001-1101 | 2019-11-14 |
| 1255992103 | Allen Joel Hackett | Contractor | 18664 Road 22.6, Dolores, CO 81323-8603 | 2019-06-21 |
| 1649836461 | Thurion Ventures Inc Dba Kitchen Masters Inc | Contractor | 47 S Wadsworth Blvd, Lakewood, CO 80226-1513 | 2019-05-16 |
| 1679047104 | Homepride, LLC | Contractor | 3160 Industrial Way # B3, Castle Rock, CO 80109-2803 | 2019-01-17 |
| 1447723127 | Mark W Malone | Contractor | 42234 Minnesota Creek Rd Unit G, Paonia, CO 81428-8125 | 2019-01-06 |
| 1265903124 | Burgoyne Ventures | Contractor | 95 Navajo Trl, Pine, CO 80470-7805 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.