Provider Demographics
NPI:1336866193
Name:CARE CONNECT TRANSPORT LLC
Entity Type:Organization
Organization Name:CARE CONNECT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HIWOT
Authorized Official - Middle Name:
Authorized Official - Last Name:DINKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-482-0442
Mailing Address - Street 1:26534 E INDORE AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5472
Mailing Address - Country:US
Mailing Address - Phone:571-482-0442
Mailing Address - Fax:
Practice Address - Street 1:26534 E INDORE AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5472
Practice Address - Country:US
Practice Address - Phone:571-482-0442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)