Provider Demographics
NPI:1942048194
Name:DJC HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:DJC HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-315-8160
Mailing Address - Street 1:9100 E FLORIDA AVE
Mailing Address - Street 2:1-202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2846
Mailing Address - Country:US
Mailing Address - Phone:602-315-8160
Mailing Address - Fax:
Practice Address - Street 1:9100 E FLORIDA AVE
Practice Address - Street 2:APT 1-202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247
Practice Address - Country:US
Practice Address - Phone:602-315-8160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-19
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care