Kaja LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KAJA LLC

Practice address

841 Broadway St Ste 208
Sheridan, WY 82801-3654

Phone

(303) 809-2029

NPI assigned

Jul 26, 2022

Organization subpart

No

Name

Kley Achterhof

Title

Director

Phone

(303) 809-2029

Locations

• Synergy HomeCare Sheridan Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2022.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1043946700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BROADWAY ST STE 208",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013654",
            "telephone_number": "303-809-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BROADWAY ST STE 208",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013654",
            "telephone_number": "303-809-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "ACHTERHOF",
        "authorized_official_first_name": "KLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-809-2029"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare Sheridan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.