Provider Demographics
NPI:1013671544
Name:FAMILY LTD
Entity type:Organization
Organization Name:FAMILY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADDISU
Authorized Official - Middle Name:ALEMU
Authorized Official - Last Name:BIREGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-394-2300
Mailing Address - Street 1:600 S DAYTON ST APT 3-203
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1330
Mailing Address - Country:US
Mailing Address - Phone:720-394-2300
Mailing Address - Fax:
Practice Address - Street 1:600 S DAYTON ST APT 3-203
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-1330
Practice Address - Country:US
Practice Address - Phone:720-394-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)