Healthcare Provider Details

I. General information

NPI: 1760282909
Provider Name (Legal Business Name): MOMMY & ME CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 NORTHPARK DR STE 103
COLORADO SPRINGS CO
80907-4245
US

IV. Provider business mailing address

4445 NORTHPARK DR STE 103
COLORADO SPRINGS CO
80907-4245
US

V. Phone/Fax

Practice location:
  • Phone: 719-290-4379
  • Fax:
Mailing address:
  • Phone: 719-290-4379
  • Fax:

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: RAYMOND R MARTINEZ
Title or Position: COMPLIANCE
Credential:
Phone: 719-290-4379