Organization Active NPI

Wollwalo Transit LLC

Doing business as N/a

  • Non-emergency Medical Transport (VAN)
  • Denver, CO
National Provider Identifier
1760841183
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
062051082 Issued in CO
Legal business name
WOLLWALO TRANSIT LLC
Doing business as
N/a
Practice address
1626 S Chester CT
Denver, CO 80247-3405
Phone
(303) 931-7186
NPI assigned
Feb 12, 2016
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Elias Alemayo Weldemichael Sr.
Title
Owner
Phone
(303) 931-7186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 062051082 CO Primary

Addresses

Primary practice location

1626 S Chester CT
Denver, CO 80247-3405

Mailing address

1626 S Chester CT Denver Co
Denver, CO 80247
Phone (303) 931-7186

Other identifiers 1

IdentifierTypeStateIssuer
20151730858MedicaidCO

Other names 1

  • N/A 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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1760841183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S CHESTER CT DENVER CO",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80247",
            "telephone_number": "303-931-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 S CHESTER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802473405",
            "telephone_number": "303-931-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLLWALO TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "WELDEMICHAEL",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "ALEMAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-931-7186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "062051082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20151730858",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.