Provider Demographics
NPI:1538650551
Name:MILE HIGH LIMO LLC.
Entity Type:Organization
Organization Name:MILE HIGH LIMO LLC.
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEMASU
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHEKOLE
Authorized Official - Suffix:I
Authorized Official - Credentials:PROVIDERS
Authorized Official - Phone:720-331-9533
Mailing Address - Street 1:4974 EUREKA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-4274
Mailing Address - Country:US
Mailing Address - Phone:720-331-9533
Mailing Address - Fax:720-428-8336
Practice Address - Street 1:4974 EUREKA CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-4274
Practice Address - Country:US
Practice Address - Phone:720-331-9533
Practice Address - Fax:720-428-8336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-24
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20141668889341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTRANSPORTATION