Provider Demographics
NPI:1437832763
Name:MELDEM NEMT LLC
Entity Type:Organization
Organization Name:MELDEM NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DEMELASH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-514-0435
Mailing Address - Street 1:6288 S MUSCADINE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6134
Mailing Address - Country:US
Mailing Address - Phone:720-514-0435
Mailing Address - Fax:
Practice Address - Street 1:2175 ACADEMY CIR STE 1
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1682
Practice Address - Country:US
Practice Address - Phone:720-514-0435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)