MEDICARE: STAR LIGHT MEDICAL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1285550046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAR LIGHT MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	23272 E DORADO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-6691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23272 E DORADO AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-6691
Country	:	US
Telephone Number	:	983-456-2770
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	KIBUR TEFERA
Credential	:
Telephone Number	:	983-456-2770

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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