NPIMap

Organization Active NPI

Khadjenoury LLC

Doing business as edventures group

  • Community/Behavioral Health Agency
  • Page, AZ
National Provider Identifier
1508097049
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KHADJENOURY LLC
Doing business as
edventures group
Practice address
1801 N Navajo Drive
Lake View Elementary
Page, AZ 86040
Phone
(520) 907-6890
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1801 N Navajo Drive
Lake View Elementary
Page, AZ 86040

Mailing address

8848 Willow Hills Court
Sandy, UT 84093
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": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1508097049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 WILLOW HILLS COURT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84093",
            "telephone_number": "520-907-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N NAVAJO DRIVE",
            "address_2": "LAKE VIEW ELEMENTARY",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "86040",
            "telephone_number": "520-907-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADJENOURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "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"
    },
    "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 Page, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.