Provider Demographics
NPI:1194375683
Name:ELEVATE TRANSIT LLC
Entity Type:Organization
Organization Name:ELEVATE TRANSIT LLC
Other - Org Name:ELEVATE TRANSIT LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TEMESGEN
Authorized Official - Middle Name:FANTA
Authorized Official - Last Name:HARKISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-217-5968
Mailing Address - Street 1:19724 E 49TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7516
Mailing Address - Country:US
Mailing Address - Phone:720-217-5968
Mailing Address - Fax:
Practice Address - Street 1:19724 E 49TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7516
Practice Address - Country:US
Practice Address - Phone:720-217-5968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20191727029OtherID NUMBER