Provider Demographics
NPI:1235582487
Name:ACHIEVING AN INDEPENDENT ME LLC
Entity Type:Organization
Organization Name:ACHIEVING AN INDEPENDENT ME LLC
Other - Org Name:AIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:EADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-474-8476
Mailing Address - Street 1:2851 S PARKER RD
Mailing Address - Street 2:SUITE 448
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2736
Mailing Address - Country:US
Mailing Address - Phone:720-748-2851
Mailing Address - Fax:303-745-2544
Practice Address - Street 1:2851 S PARKER RD
Practice Address - Street 2:SUITE 448
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2736
Practice Address - Country:US
Practice Address - Phone:720-748-2851
Practice Address - Fax:303-745-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health