SJR, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SJR, INC

Practice address

4065 Crosslen LN
Colorado Springs, CO 80908-3759

Phone

(719) 359-7989

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Shawna Boller

Title

Ceo

Phone

(719) 359-7989

Specialties & licenses 1

Addresses

Tax ID family

SJR Inc2 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.

• SJR, Inc

  • Developmentally Disabled Services Day Training Agency
  • Colorado Springs, CO
  • NPI 1225585557
  NPD tax ID

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1528633468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 CROSSLEN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083759",
            "telephone_number": "719-359-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 CROSSLEN LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809083759",
            "telephone_number": "719-359-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "BOLLER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-359-7989"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Sizemore, DC
• Lenore L Sjoberg, LPC, LAC
• Gayle Sjoerdsma
• Rachel Sjostrand
• SJR, Inc
• Ashlee Skabo
• Aaron Skaggs, LCPC
• Anna Skaggs
• Daniel Ryan Skaggs
• Jacqueline Ann Skaggs, D.O.

• Developmentally Disabled Services Day Training Agency in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.