Healthcare Provider Details
I. General information
NPI: 1760299838
Provider Name (Legal Business Name): ONELOVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2024
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9923 E JEWELL AVE APT 202
AURORA CO
80247-6221
US
IV. Provider business mailing address
9923 E JEWELL AVE APT 202
AURORA CO
80247-6221
US
V. Phone/Fax
- Phone: 720-229-9289
- Fax:
- Phone: 720-229-9289
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GHEBREKIDAN
K
ABRAHA
Title or Position: OWNER
Credential:
Phone: 720-229-9289