Healthcare Provider Details

I. General information

NPI: 1821808882
Provider Name (Legal Business Name): MAKA TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2025
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23201 E ORCHARD PL
AURORA CO
80015-6695
US

IV. Provider business mailing address

23201 E ORCHARD PL
AURORA CO
80015-6695
US

V. Phone/Fax

Practice location:
  • Phone: 702-937-4502
  • Fax:
Mailing address:
  • Phone: 702-937-4502
  • 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: MR. AWET A ASEFFA
Title or Position: OWNER/MANAGER
Credential:
Phone: 702-937-4502