MEDICARE: CENTENNIAL STATE MEDICAL SOLUTIONS 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1821929829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTENNIAL STATE MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	7084 S GRAPE WAY
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80122-2536
Country	:	US
Telephone Number	:	303-921-2574
Fax Number	:

Provider Business Practice Location Address
First Line	:	5958 S HOLLY ST
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4221
Country	:	US
Telephone Number	:	303-921-2574
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSHUA LOREN HAYES
Credential	:
Telephone Number	:	303-921-2574

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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