Provider Demographics
NPI:1891167136
Name:HIGHGRACE TRANSIT LLC
Entity type:Organization
Organization Name:HIGHGRACE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SINCLAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:UGBOAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-332-1994
Mailing Address - Street 1:5051 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-6455
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5051 DURHAM CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-6455
Practice Address - Country:US
Practice Address - Phone:303-332-1994
Practice Address - Fax:866-702-2483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)