Provider Demographics
NPI:1588136683
Name:JOYFULCARE HOMES LLC
Entity type:Organization
Organization Name:JOYFULCARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MABRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-213-5853
Mailing Address - Street 1:6065 HEARTH CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1829
Mailing Address - Country:US
Mailing Address - Phone:719-213-5853
Mailing Address - Fax:719-960-2219
Practice Address - Street 1:6065 HEARTH CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-1829
Practice Address - Country:US
Practice Address - Phone:719-213-5853
Practice Address - Fax:719-960-2219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-30
Last Update Date:2018-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care