Organization · NPI-2

Advantage Transition Agency LLC

In Home Supportive Care · Aurora, CO

NPI number1407549504

StatusActive

Last updated in NPPESNov 20, 2024

Details

NPI: 1407549504
Entity type: Organization (NPI-2)
Legal business name: Advantage Transition Agency LLC
Organization subpart: No
Enumeration date: Jun 2, 2023
Certification date: Nov 20, 2024
Last updated: Nov 20, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
251S00000X	Community/Behavioral Health	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
376J00000X	Homemaker	–	–

Other names

Advantage Transition Agency LLC (Other Name)

Practice location

10800 E Bethany Dr Ste 105a
Aurora, CO 80014-2687

Phone 720-949-4055 · Fax 720-367-5755

Mailing address

10800 E Bethany Dr
Aurora, CO 80014-2687

Phone 267-444-2011 · Fax 720-367-5755

Authorized official

Kemah Kolleh
Owner
7209494055

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