Organization Active NPI

Sky Ride LLC

  • Secured Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1114706819
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
SKY RIDE LLC
Practice address
17804 E Rice Circle Unit B
Aurora, CO 80015-2780
Phone
(323) 977-5989
Fax
(571) 276-0352
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahlet Shigut Kejela, MAHLET KEJELA
Title
Owner
Phone
(323) 977-5989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

17804 E Rice Circle Unit B
Aurora, CO 80015-2780

Mailing address

17804 E Rice Circle Unit B
Aurora, CO 80015-2780
Phone (323) 977-5989

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1114706819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17804 E RICE CIRCLE UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152780",
            "telephone_number": "323-977-5989",
            "fax_number": "571-276-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17804 E RICE CIRCLE UNIT B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152780",
            "telephone_number": "323-977-5989",
            "fax_number": "571-276-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "KEJELA",
        "authorized_official_first_name": "MAHLET",
        "authorized_official_middle_name": "SHIGUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-977-5989",
        "authorized_official_credential": "MAHLET KEJELA"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.