Provider Demographics
NPI:1538519301
Name:433 ENTERPRISES INC
Entity Type:Organization
Organization Name:433 ENTERPRISES INC
Other - Org Name:SYNERGY HOMECARE OF CHEYENNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PEDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-426-4177
Mailing Address - Street 1:1720 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-5006
Mailing Address - Country:US
Mailing Address - Phone:307-426-4177
Mailing Address - Fax:307-426-4178
Practice Address - Street 1:1720 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-5006
Practice Address - Country:US
Practice Address - Phone:307-426-4177
Practice Address - Fax:307-426-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care