Provider Demographics
NPI: | 1376336396 |
---|---|
Name: | SPEEDOO LLC |
Entity type: | Organization |
Organization Name: | SPEEDOO LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KHALID |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SAEED |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 319-471-7371 |
Mailing Address - Street 1: | 1 N HEARTHSTONE WAY APT 377 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHANDLER |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85226-0014 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 319-471-7371 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1 N HEARTHSTONE WAY APT 377 |
Practice Address - Street 2: | |
Practice Address - City: | CHANDLER |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85226-0014 |
Practice Address - Country: | US |
Practice Address - Phone: | 319-471-7371 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | SPEEDOO LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2025-05-22 |
Last Update Date: | 2025-05-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |