Provider Demographics
NPI:1790334068
Name:ADONAI/ESRON, INC.
Entity Type:Organization
Organization Name:ADONAI/ESRON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YONATAN
Authorized Official - Middle Name:KIDANE
Authorized Official - Last Name:SEBHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-215-6094
Mailing Address - Street 1:12199 E VILLANOVA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1901
Mailing Address - Country:US
Mailing Address - Phone:720-215-6094
Mailing Address - Fax:
Practice Address - Street 1:12199 E VILLANOVA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1901
Practice Address - Country:US
Practice Address - Phone:720-215-6094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)