Healthcare Provider Details

I. General information

NPI: 1689588477
Provider Name (Legal Business Name): HALLELUJAH NEMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11908 GILLETTE ST
OVERLAND PARK KS
66213-5009
US

IV. Provider business mailing address

11908 GILLETTE ST
OVERLAND PARK KS
66213-5009
US

V. Phone/Fax

Practice location:
  • Phone: 816-541-1888
  • Fax:
Mailing address:
  • Phone: 816-541-1888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BISRAT AYELE TEFERA
Title or Position: OWNER
Credential:
Phone: 913-488-9086