Healthcare Provider Details

I. General information

NPI: 1033046362
Provider Name (Legal Business Name): SECURE ASSIST MEDICAL LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17830 E GIRARD DR UNIT 627
AURORA CO
80013-7628
US

IV. Provider business mailing address

17830 E GIRARD DR UNIT 627
AURORA CO
80013-7628
US

V. Phone/Fax

Practice location:
  • Phone: 720-727-4833
  • Fax:
Mailing address:
  • Phone: 720-727-4833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MOSTAPHA H GHARBI
Title or Position: OWNER
Credential:
Phone: 720-727-4833