Organization Active NPI

Abenezer Holdings LLC

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1447606967
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B-100818 Issued in CO
Legal business name
ABENEZER HOLDINGS LLC
Practice address
19142 E Hampden Dr
Aurora, CO 80013-5408
Phone
(720) 226-5915
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Behailu Leggese
Title
Partner
Phone
(720) 226-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B-100818 CO Primary

Addresses

Primary practice location

19142 E Hampden Dr
Aurora, CO 80013-5408

Mailing address

19142 E Hampden Dr
Aurora, CO 80013-5408
Phone (720) 226-5915

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1447606967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19142 E HAMPDEN DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135408",
            "telephone_number": "720-226-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19142 E HAMPDEN DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135408",
            "telephone_number": "720-226-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABENEZER HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "LEGGESE",
        "authorized_official_first_name": "BEHAILU",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-226-5915"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-100818",
            "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 May 13, 2016; 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.