Aja Enterprise LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

2083P0901X Issued in WI

Legal business name

AJA ENTERPRISE LLC

Practice address

8726 W Mill Rd
Milwaukee, WI 53225-1838

Phone

(414) 353-9250

Fax

(414) 353-2095

NPI assigned

May 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Bevelyn Joyce Johnson, LCSW

Title

President/Owner

Phone

(414) 353-9250

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Aja Child Adolescent Day Treatment2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Aja Child & Adolescent Day Treatment

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1790972461
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1003074956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8726 W MILL RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251838",
            "telephone_number": "414-353-9250",
            "fax_number": "414-353-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 W MILL RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251838",
            "telephone_number": "414-353-9250",
            "fax_number": "414-353-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJA ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVELYN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "414-353-9250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "2083P0901X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39627100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40978100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36298020",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39701200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42222500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43008300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalee Aiello
• Jennifer B Aiken, APNP
• John J Aiken, MD
• Aim for Change Adult Family Home, LLC
• Aja Child & Adolescent Day Treatment
• Aja Healing (Aja healing and Masika Heath Wellness Clinic)
• Aja Healing (Aja healing and Masika Heath Wellness Clinic)
• Ajacks Shuttle Service LLC
• Lataysha S Ajala
• Nour Alkhouli Ajam

• Case Management Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.