Provider Demographics
NPI:1316696941
Name:FAITH TRANSPORTATION LLC
Entity type:Organization
Organization Name:FAITH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-427-3545
Mailing Address - Street 1:17535 E CASPIAN PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4173
Mailing Address - Country:US
Mailing Address - Phone:720-427-3545
Mailing Address - Fax:
Practice Address - Street 1:17535 E CASPIAN PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-4173
Practice Address - Country:US
Practice Address - Phone:720-427-3545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services