Provider Demographics
NPI:1154460012
Name:JOY MEDICAL SERVICES
Entity type:Organization
Organization Name:JOY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:DUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-204-1559
Mailing Address - Street 1:2601 SOUTH LEMAY AVENUE
Mailing Address - Street 2:SUITE 41
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525
Mailing Address - Country:US
Mailing Address - Phone:970-204-1559
Mailing Address - Fax:970-267-9925
Practice Address - Street 1:2601 S LEMAY AVE
Practice Address - Street 2:SUITE 41
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2295
Practice Address - Country:US
Practice Address - Phone:970-204-1559
Practice Address - Fax:970-267-9925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25-24715-0000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO25-24715-0000OtherWAGE WITHHOLDING LICENSE