Supreme Limo LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SUPREME LIMO LLC

Practice address

1710 Briargate Blvd Ste 456
Colorado Springs, CO 80920-3462

Phone

(303) 669-6795

NPI assigned

May 22, 2023

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yosef Seyoum

Title

Owner/Manager

Phone

(303) 669-6795

Specialties & licenses 3

Addresses

Tax ID family

Supreme Limo LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Supreme Limo LLC

  • Transportation Broker
  • Aurora, CO
  • NPI 1699470575
  NPD tax ID

Locations

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1801588710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S FAIRPLAY WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125725",
            "telephone_number": "303-669-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BRIARGATE BLVD STE 456",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203462",
            "telephone_number": "303-669-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME LIMO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SEYOUM",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "303-669-6795"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.