Provider Demographics
NPI:1114475647
Name:REEM LIMO LLC
Entity Type:Organization
Organization Name:REEM LIMO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:T
Authorized Official - Last Name:FISSEHAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-252-0792
Mailing Address - Street 1:11579 TERRAWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3027
Mailing Address - Country:US
Mailing Address - Phone:720-252-0792
Mailing Address - Fax:
Practice Address - Street 1:11579 TERRAWOOD LN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3027
Practice Address - Country:US
Practice Address - Phone:720-252-0792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLL-03141343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)