Provider Demographics
NPI:1164827077
Name:ACT OF KINDESS LLC
Entity Type:Organization
Organization Name:ACT OF KINDESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLAOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-339-3542
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-0274
Mailing Address - Country:US
Mailing Address - Phone:720-635-4734
Mailing Address - Fax:720-420-1322
Practice Address - Street 1:3545 LEYDEN ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1343
Practice Address - Country:US
Practice Address - Phone:720-635-4734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20131051247251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management