Provider Demographics
NPI:1780044883
Name:ZEBIB LLC
Entity Type:Organization
Organization Name:ZEBIB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIDANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-480-9671
Mailing Address - Street 1:12281 E TENNESSEE DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3498
Mailing Address - Country:US
Mailing Address - Phone:720-480-9671
Mailing Address - Fax:
Practice Address - Street 1:12281 E TENNESSEE DR UNIT 103
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3498
Practice Address - Country:US
Practice Address - Phone:720-480-9671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)