Healthcare Provider Details

I. General information

NPI: 1831545565
Provider Name (Legal Business Name): ABC HOME MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7302 S ALTON WAY STE 4-K
CENTENNIAL CO
80112-2313
US

IV. Provider business mailing address

PO BOX 674553
DETROIT MI
48267-4553
US

V. Phone/Fax

Practice location:
  • Phone: 720-643-2850
  • Fax: 720-452-9034
Mailing address:
  • Phone: 720-643-2850
  • Fax: 720-452-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: EMILY M VESTAL
Title or Position: PRESIDENT AND DIRECTOR
Credential:
Phone: 866-897-8588