Healthcare Provider Details

I. General information

NPI: 1629910799
Provider Name (Legal Business Name): AMERICAN SECURE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 S FRASER ST UNIT 2
AURORA CO
80014-4508
US

IV. Provider business mailing address

2220 S FRASER ST UNIT 2
AURORA CO
80014-4508
US

V. Phone/Fax

Practice location:
  • Phone: 303-564-2357
  • Fax:
Mailing address:
  • Phone: 303-564-2357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. KEBEDE ERBELO
Title or Position: OPERATION MANAGER
Credential:
Phone: 303-564-2357