Organization Active NPI

1089 LLC

Doing business as E.T.One LLC

  • Transportation Broker
  • Fairfax, VA
National Provider Identifier
1619660156
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
1089 LLC
Doing business as
E.T.One LLC
Practice address
5565 Caithness CT
Fairfax, VA 22032-3835
Phone
(703) 499-6848
NPI assigned
May 31, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Yezihalem S Kebew
Title
Owner
Phone
(703) 499-6848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X NU Primary

Addresses

Primary practice location

5565 Caithness CT
Fairfax, VA 22032-3835

Mailing address

5565 Caithness CT
Fairfax, VA 22032-3835
Phone (703) 499-6848

Other names 1

  • E.T.One LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1619660156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CAITHNESS CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323835",
            "telephone_number": "703-499-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 CAITHNESS CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323835",
            "telephone_number": "703-499-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1089 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "KEBEW",
        "authorized_official_first_name": "YEZIHALEM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-499-6848"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.T.One LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "E.T.One LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.