Provider Demographics
NPI:1891575114
Name:MOHI LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:MOHI LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BESUFEKAD
Authorized Official - Middle Name:TADESSE
Authorized Official - Last Name:MULATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-372-9728
Mailing Address - Street 1:5510 PORTSMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46224-6206
Mailing Address - Country:US
Mailing Address - Phone:317-372-9728
Mailing Address - Fax:
Practice Address - Street 1:5510 PORTSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46224-6206
Practice Address - Country:US
Practice Address - Phone:317-372-9728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)