Healthcare Provider Details

I. General information

NPI: 1003372954
Provider Name (Legal Business Name): BEE LINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10050 RALSTON RD # 4
ARVADA CO
80004-4974
US

IV. Provider business mailing address

16283 W 63RD PL UNIT E
ARVADA CO
80403-7604
US

V. Phone/Fax

Practice location:
  • Phone: 720-238-5999
  • Fax: 303-632-7726
Mailing address:
  • Phone: 720-495-0256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: GENNADIY GNATYUK
Title or Position: OWNER
Credential:
Phone: 720-238-5999