Healthcare Provider Details

I. General information

NPI: 1831229053
Provider Name (Legal Business Name): SENIOR SHUTTLE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10170 E MISSISSIPPI AVE
DENVER CO
80247-2418
US

IV. Provider business mailing address

10170 E MISSISSIPPI AVE
DENVER CO
80247-2418
US

V. Phone/Fax

Practice location:
  • Phone: 303-388-7000
  • Fax: 303-388-1003
Mailing address:
  • Phone: 303-388-7000
  • Fax: 303-388-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberB9872
License Number StateCO

VIII. Authorized Official

Name: MR. VINOD K BHASIN
Title or Position: PRESIDENT
Credential:
Phone: 303-388-7000