NPIMap

Organization Active NPI

Khadjenoury LLC

  • Community/Behavioral Health Agency
  • Many Farms, AZ
National Provider Identifier
1457520926
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KHADJENOURY LLC
Practice address
State Hwy 191 Lakeview Dr
Edventures Program C/O Chinle Boarding School
Many Farms, AZ 86538
Phone
(520) 907-6890
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Siamak Khadjenoury
Title
Ceo
Phone
(520) 907-6890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

State Hwy 191 Lakeview Dr
Edventures Program C/O Chinle Boarding School
Many Farms, AZ 86538

Mailing address

8848 Willow Hills CT
Sandy, UT 84093-1889
Phone (520) 907-6890

Other names 1

  • edventures group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edventures Group10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1457520926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 WILLOW HILLS CT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931889",
            "telephone_number": "520-907-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE HWY 191 LAKEVIEW DR",
            "address_2": "EDVENTURES PROGRAM C/O CHINLE BOARDING SCHOOL",
            "city": "MANY FARMS",
            "state": "AZ",
            "postal_code": "86538",
            "telephone_number": "520-907-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADJENOURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "KHADJENOURY",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-907-6890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "edventures group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Many Farms, AZ

Sources for this page

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