MEDICARE: KIYA TRANSPORT 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1477325199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIYA TRANSPORT LLC

Provider Business Mailing Address
First Line	:	102 S TEJON ST STE 1109
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2231
Country	:	US
Telephone Number	:	719-678-7980
Fax Number	:	719-678-7980

Provider Business Practice Location Address
First Line	:	102 S TEJON ST STE 1109
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2231
Country	:	US
Telephone Number	:	719-678-7980
Fax Number	:	719-678-7980

Authorized Official
Title or Position	:	OWNER
Name	:	NIGUSSIE DADI
Credential	:
Telephone Number	:	720-278-1198

Provider Enumeration Date	:	10/25/2023
Last Update Date	:	10/25/2023

Similar Medicare Providers

1295871465 — BAILEY ROSE WARSTLER MA SLP CCC
Practice Location Address:

102 S. TEJON STREET , SUITE 1100
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 512-399-0064
Practice Fax:

1467874735 — ANGIE BODE
Practice Location Address:

102 S TEJON ST , 102A
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 719-237-5690
Practice Fax:

1952705998 — MRS. CHANDRA ENRIGHT-WALLACE LMT, NCBTMB
Practice Location Address:

102 S TEJON ST , SUITE 102A
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 719-784-3330
Practice Fax:

1770108276 — PDI HEALTH CO LLC
Practice Location Address:

102 S TEJON ST
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 800-749-9729
Practice Fax:

1124643630 — PDI HEALTH CO LLC
Practice Location Address:

102 S TEJON ST
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 800-749-9729
Practice Fax:

1023602554 — RACHEL STEIN
Practice Location Address:

102 S TEJON ST
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 800-249-1266
Practice Fax:

1275119703 — MIKALA L PATTERSON
Practice Location Address:

102 S TEJON ST
COLORADO SPRINGS, CO
80903-2231

Practice Phone: 800-249-1266
Practice Fax:

Directions to “KIYA TRANSPORT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.