Healthcare Provider Details

I. General information

NPI: 1265387815
Provider Name (Legal Business Name): TEKABE T LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 W E ST APT 202
LINCOLN NE
68522-1323
US

IV. Provider business mailing address

736 W E ST APT 202
LINCOLN NE
68522-1323
US

V. Phone/Fax

Practice location:
  • Phone: 531-364-5819
  • Fax:
Mailing address:
  • Phone: 531-364-5819
  • 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: TEKABE TEKLE WELDEGIORGIS
Title or Position: OWNER
Credential:
Phone: 531-364-5819