NPIMap

Organization Active NPI

Khadjenoury LLC

Doing business as edventuresgroup

  • Community/Behavioral Health Agency
  • Thoreau, NM
National Provider Identifier
1861773004
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KHADJENOURY LLC
Doing business as
edventuresgroup
Practice address
8 Hawk Circle
Edventures C/O Thoreau Middle School
Thoreau, NM 87323
Phone
(801) 833-0568
Fax
(801) 930-9134
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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
(801) 833-0568

Specialties & licenses 1

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

Addresses

Primary practice location

8 Hawk Circle
Edventures C/O Thoreau Middle School
Thoreau, NM 87323

Mailing address

8 Hawk Circle
Thoreau Middle School
Thoreau, NM 84732
Phone (801) 833-0568

Other names 1

  • edventuresgroup 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": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1861773004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HAWK CIRCLE",
            "address_2": "THOREAU MIDDLE SCHOOL",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "84732",
            "telephone_number": "801-833-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HAWK CIRCLE",
            "address_2": "EDVENTURES C/O THOREAU MIDDLE SCHOOL",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "87323",
            "telephone_number": "801-833-0568",
            "fax_number": "801-930-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHADJENOURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "KHADJENOURY",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-833-0568",
        "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": "edventuresgroup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thoreau, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.