Provider Demographics
NPI:1043700917
Name:MILE HIGH LIMO LLLC
Entity Type:Organization
Organization Name:MILE HIGH LIMO LLLC
Other - Org Name:MILE HIGH LIMO MIDWEST LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADINO
Authorized Official - Middle Name:D
Authorized Official - Last Name:BOGALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-206-8178
Mailing Address - Street 1:5089 CENTRAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-4189
Mailing Address - Country:US
Mailing Address - Phone:720-206-8178
Mailing Address - Fax:720-428-8336
Practice Address - Street 1:5089 CENTRAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-4189
Practice Address - Country:US
Practice Address - Phone:720-206-8178
Practice Address - Fax:720-428-8336
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-15
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20151668889171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2015166889OtherPROVIDER