JKLR MINISTRIES, LLC (NPI# 1528200086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528200086 |
| Entity Type | Organization |
| Organization Name | JKLR MINISTRIES, LLC |
| Practice Address |
3930 Ridge Dr # E Pueblo CO 81008-1766 |
| Mailing Address |
140 W 29th St 3352 Pueblo CO 81008-1002 |
| Practice Telephone | 7195692248 |
| Practice Fax Number | 7195950085 |
| Mailing Telephone | 7195692248 |
| Mailing Fax Number | 7195950085 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | MR. GERALD LEROY RANDOLPH (DIRECTOR) |
| Authorized Official Telephone | 7195692248 |
| Authorized Official Credential | REV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
CO | Behavioral Health & Social Service Providers |
| Street Address |
3930 RIDGE DR # E |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255722989 | Randall Flynt | Counselor | 805 Eagleridge Blvd, Pueblo, CO 81008-2193 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1770121519 | Christina Rachel Blaisdell | Counselor | 801 N Weber St Ste 202, Colorado Springs, CO 80903-5927 | 2019-12-11 |
| 1215314695 | Gus David Holabeck IIi | Counselor | 333 Perry St Ste 206e, Castle Rock, CO 80104-2434 | 2015-05-05 |
| 1427445543 | Darrin Kessler | Counselor | 1440a Grove St, Denver, CO 80204 | 2015-04-16 |
| 1831479369 | Geremy F. Keeton | Counselor | 2050 Bramblwood Ln, Colorado Springs, CO 80920-1588 | 2011-08-29 |
| 1902135171 | Patricia Conley | Counselor | 826 1/2 Grand Ave, Glenwood Springs, CO 81601-3404 | 2009-12-16 |
| 1477706984 | Kathleen Mary Haley | Counselor | 2452 S Kittredge Way, Aurora, CO 80013-1423 | 2008-10-28 |
| 1235348434 | Thomas Mcmillen Long | Counselor | 4155 E Jewell Ave Ste 1117, Denver, CO 80222-4516 | 2007-05-22 |
| 1457569089 | Nadine Ann Swahnberg | Counselor | 1458 S Ward St, Lakewood, CO 80228-3870 | 2007-05-18 |
| 1891901666 | Calvin Chester Kemper | Counselor | 6287 Baum St, Frederick, CO 80530-4860 | 2007-05-16 |
| 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.