Individual provider Active NPI

Ebor Abebe Tedbabe

  • Non-emergency Medical Transport (VAN)
  • Henrico, VA
National Provider Identifier
1740943042
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1254 Issued in VA
Practice address
3920 Freeport PL Apt 11
Henrico, VA 23233-1264
Phone
(202) 867-6677
NPI assigned
Oct 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1254 VA Primary

Addresses

Primary practice location

3920 Freeport PL Apt 11
Henrico, VA 23233-1264

Mailing address

3920 Freeport PL Apt 11
Henrico, VA 23233-1264
Phone (202) 867-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nazareth Et Transportation Company LLC Non-Emergency Medical Transport (Van) CurrentSince Oct 31, 2021 Accepting new patients
Et Richmond Taxi LLC CurrentSince Dec 12, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1740943042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 FREEPORT PL APT 11",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331264",
            "telephone_number": "202-867-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 FREEPORT PL APT 11",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331264",
            "telephone_number": "202-867-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDBABE",
        "first_name": "EBOR",
        "middle_name": "ABEBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "1254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.