Provider Demographics
NPI:1194509927
Name:CDI NON EMERGENCY TRANSPORTATION LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:CDI NON EMERGENCY TRANSPORTATION LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEMESGEN
Authorized Official - Middle Name:ERABO
Authorized Official - Last Name:SINAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-200-4199
Mailing Address - Street 1:1315 A ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2949
Mailing Address - Country:US
Mailing Address - Phone:701-200-4199
Mailing Address - Fax:
Practice Address - Street 1:1315 A ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2949
Practice Address - Country:US
Practice Address - Phone:701-200-4199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company