Advantage Transition Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ADVANTAGE TRANSITION AGENCY LLC

Practice address

10800 E Bethany Dr Ste 105a
Aurora, CO 80014-2687

Phone

(720) 949-4055

Fax

(720) 367-5755

NPI assigned

Jun 2, 2023

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Kemah Kolleh

Title

Owner

Phone

(720) 949-4055

Specialties & licenses 4

Addresses

Other names 1

• Advantage Transition Agency LLC Other name

Tax ID family

Advantage Transition Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Advantage Transition Agency, LLC.

  • Case Management Agency
  • Aurora, CO
  • NPI 1093488496
  NPD tax ID
• Advantage Transition Agency, LLC.

  • Community/Behavioral Health Agency
  • Aurora, CO
  • NPI 1770280091
  NPD tax ID

Locations

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1407549504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E BETHANY DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142687",
            "telephone_number": "267-444-2011",
            "fax_number": "720-367-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 E BETHANY DR STE 105A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142687",
            "telephone_number": "720-949-4055",
            "fax_number": "720-367-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE TRANSITION AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "KEMAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-949-4055",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Transition Agency LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Advantage Transition Agency LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.