MEDICARE: MOBILITY SERVICES OF COLORADO, INC.

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	171WH0202X	Home Modifications Contractor
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1912484155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILITY SERVICES OF COLORADO, INC.

Provider Business Mailing Address
First Line	:	8000 E QUINCY AVE UNIT 1900
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3240
Country	:	US
Telephone Number	:	303-459-6990
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 E QUINCY AVE UNIT 1900
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-3240
Country	:	US
Telephone Number	:	303-459-6990
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KURT SHYMANSKI
Credential	:
Telephone Number	:	303-459-6990

Provider Enumeration Date	:	07/20/2018
Last Update Date	:	12/14/2020

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