Provider Demographics
NPI:1578002010
Name:GREEN TAXI CORPORATION
Entity Type:Organization
Organization Name:GREEN TAXI CORPORATION
Other - Org Name:ALL CITIES TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAILEYESUS
Authorized Official - Middle Name:ASSEFA
Authorized Official - Last Name:DESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-216-7000
Mailing Address - Street 1:10 S HAVANA ST #103
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012
Mailing Address - Country:US
Mailing Address - Phone:720-668-8923
Mailing Address - Fax:720-668-8923
Practice Address - Street 1:10 S HAVANA ST #103
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012
Practice Address - Country:US
Practice Address - Phone:720-668-8923
Practice Address - Fax:720-668-8923
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREEN TAXI CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55890OtherPUC