Provider Demographics
NPI:1033891429
Name:NEMT COLORADO LLC
Entity Type:Organization
Organization Name:NEMT COLORADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YESHITELA
Authorized Official - Middle Name:DEJENE
Authorized Official - Last Name:MERSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-998-6597
Mailing Address - Street 1:3650 E 100TH CT
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-3550
Mailing Address - Country:US
Mailing Address - Phone:720-998-6597
Mailing Address - Fax:
Practice Address - Street 1:3650 E 100TH CT
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-3550
Practice Address - Country:US
Practice Address - Phone:720-998-6597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)