Provider Demographics
NPI:1821451816
Name:HALLOWEEN LIFT INC
Entity Type:Organization
Organization Name:HALLOWEEN LIFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELTAYEB
Authorized Official - Middle Name:M
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-875-1081
Mailing Address - Street 1:1642 S PARKER RD STE 114
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-2918
Mailing Address - Country:US
Mailing Address - Phone:303-875-1081
Mailing Address - Fax:
Practice Address - Street 1:1642 S PARKER RD STE 114
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2918
Practice Address - Country:US
Practice Address - Phone:303-875-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLL-03190343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)