Healthcare Provider Details

I. General information

NPI: 1013588581
Provider Name (Legal Business Name): PINNACLE MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14261 E 4TH AVE STE 160
AURORA CO
80011-8463
US

IV. Provider business mailing address

14261 E 4TH AVE STE 160
AURORA CO
80011-8463
US

V. Phone/Fax

Practice location:
  • Phone: 720-532-8130
  • Fax: 720-328-8010
Mailing address:
  • Phone: 720-532-8130
  • Fax: 866-410-3231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHARLES MAOBUGHICHI THOMAS
Title or Position: CEO
Credential: OWNER
Phone: 303-435-9697