James Keller LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

64938824 Issued in CO

Legal business name

JAMES KELLER LLC

Practice address

3565 28TH St
203
Boulder, CO 80301-1577

Phone

(303) 513-8176

Fax

(303) 939-8695

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James H Keller

Title

Executive Director

Phone

(303) 513-8176

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• People First Doing business as

Tax ID family

James Keller LLC2 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.

• Jams Keller LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Boulder, CO
  • NPI 1376913558
  NPD tax ID

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982800389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 28TH ST",
            "address_2": "203",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011577",
            "telephone_number": "303-513-8176",
            "fax_number": "303-939-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 28TH ST",
            "address_2": "203",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011577",
            "telephone_number": "303-513-8176",
            "fax_number": "303-939-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES KELLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-513-8176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CO",
            "license": "64938824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64938824",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "People First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eva Jahn, LPC
• Mohit Jain, MD
• Shalini Sachdeva Jain, MD
• Jama Ellen Briscoe, PH.D., PLLC
• James Gerweck DMD LLC
• Nichola Amber James, MSW
• Jamie McCartney Psychiatry PLLC
• Lisa D Jamroz, MD
• Jams Keller LLC
• Jan Yamashiro D.D.S., M.S.D., Professional LLC

• Developmentally Disabled Services Day Training Agency in Boulder, CO
• Providers in Boulder, 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 Aug 22, 2020; 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.