Provider Demographics
NPI:1104578046
Name:KALEAB AND HIWOT TRANSPORTATION LLC
Entity type:Organization
Organization Name:KALEAB AND HIWOT TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALEAB
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZEWDIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-904-2479
Mailing Address - Street 1:13115 WHITTINGTON DR APT 1101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2679
Mailing Address - Country:US
Mailing Address - Phone:832-904-2479
Mailing Address - Fax:
Practice Address - Street 1:6065 HILLCROFT ST STE 617
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1087
Practice Address - Country:US
Practice Address - Phone:832-904-2479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)