Healthcare Provider Details

I. General information

NPI: 1689590127
Provider Name (Legal Business Name): ADDIS MOBILITY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 WASHINGTON ST # 470435
BROOKLINE MA
02445-6866
US

IV. Provider business mailing address

207 WASHINGTON ST # 470435
BROOKLINE MA
02445-6866
US

V. Phone/Fax

Practice location:
  • Phone: 617-546-5855
  • Fax:
Mailing address:
  • Phone: 617-546-5855
  • 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. YOHANNES ABEBE
Title or Position: CEO
Credential: YK
Phone: 617-396-6208