Provider Demographics
NPI:1003372954
Name:BEE LINE, LLC
Entity Type:Organization
Organization Name:BEE LINE, LLC
Other - Org Name:BEE LINE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENNADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GNATYUK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-238-5999
Mailing Address - Street 1:16283 W 63RD PL UNIT E
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80403-7604
Mailing Address - Country:US
Mailing Address - Phone:720-495-0256
Mailing Address - Fax:
Practice Address - Street 1:10050 RALSTON RD # 4
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4974
Practice Address - Country:US
Practice Address - Phone:720-238-5999
Practice Address - Fax:303-632-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22222Medicaid