Tekleab Elos Hailu, TRANSPORTATION PROVI

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

900 LQJ Issued in CO

Practice address

4810 Flanders Way
Denver, CO 80249-7528

Phone

(720) 278-1330

NPI assigned

Jul 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tekleab Elos Hailu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1952718744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 FLANDERS WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497528",
            "telephone_number": "720-278-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 FLANDERS WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497528",
            "telephone_number": "720-278-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILU",
        "first_name": "TEKLEAB",
        "middle_name": "ELOS",
        "credential": "TRANSPORTATION PROVI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CO",
            "license": "900 LQJ",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CO",
            "license": "285 MCT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEKLEAB",
            "last_name": "HAILU",
            "middle_name": "ELOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roman Haile
• Hana Gebre Hailemariam
• Henok Hailemichael
• Veronica Hailes, M.D.
• Saron Haileselassie
• Ashley Haines
• Sierra Haines
• Jennifer Lee Hainje
• Aspen Nicole Hainsworth, LSW
• Rebecca Lynn Hainz, DO

• Private Vehicle in Denver, CO
• Providers in Denver, CO by specialty
• Private Vehicle in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.