Provider Demographics
NPI:1952925059
Name:JADAN'S PASSAGE, LLC
Entity Type:Organization
Organization Name:JADAN'S PASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:NIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LESSARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-807-6677
Mailing Address - Street 1:PO BOX 656
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-0656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10346 PARK MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6870
Practice Address - Country:US
Practice Address - Phone:720-473-3049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker