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: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 S POTOMAC ST STE 190
AURORA CO
80012-4542
US

IV. Provider business mailing address

PO BOX 24312
DENVER CO
80224-0312
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

VIII. Authorized Official

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