Healthcare Provider Details
I. General information
NPI: 1134136195
Provider Name (Legal Business Name): AMERITA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/02/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7307 S REVERE PKWY SUITE 200
CENTENNIAL CO
80112-3931
US
IV. Provider business mailing address
PO BOX 223017
PITTSBURGH PA
15251-2017
US
V. Phone/Fax
- Phone: 303-355-4745
- Fax: 303-322-7022
- Phone: 800-477-7375
- Fax: 877-676-0493
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335G00000X |
| Taxonomy | Medical Foods Supplier |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | PDO-401 |
| License Number State | CO |
VIII. Authorized Official
Name:
ALEXANDER
LAWRENCE
KATEN
Title or Position: CFO
Credential:
Phone: 772-631-3140