Buck Jack, LLC
NPI 1538837794 · Home Health Agency · Colorado Springs, CO
Buck Jack, LLC is a Home Health Agency organization in Colorado Springs, CO (NPI 1538837794).
Provider details
- NPI number
- 1538837794
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tanner Denn, Credentialing Manager(719) 428-1840
Specialties & taxonomies
Agencies
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Shandy Clinic
Registry dates
- Enumerated
- 2021-09-02
- Last updated
- 2021-09-02
- Certified
- 2021-08-17
Frequently asked questions
- What is Buck Jack, LLC's NPI number?
- Buck Jack, LLC's National Provider Identifier (NPI) is 1538837794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Buck Jack, LLC?
- Buck Jack, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Buck Jack, LLC located?
- Buck Jack, LLC's practice location on file with NPPES is 685 Citadel Dr E Ste 580, Colorado Springs, CO 80909-5381.
- What is Buck Jack, LLC's phone number?
- The practice phone number listed in the NPPES registry for Buck Jack, LLC is (719) 597-0822.
- Who is the authorized official for Buck Jack, LLC?
- The authorized official listed on Buck Jack, LLC's NPPES record is Tanner Denn, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Buck Jack, LLC's NPI active?
- Yes — Buck Jack, LLC's NPI (1538837794) is active in the NPPES registry as of the last update on 2021-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.