Healthcare Provider Details

I. General information

NPI: 1225756299
Provider Name (Legal Business Name): MOBIUS HEALTHCARE STRATEGIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 KITTYHAWK RD
COLORADO SPRINGS CO
80920-1441
US

IV. Provider business mailing address

3578 HARTSEL DR UNIT 335
COLORADO SPRINGS CO
80920-2103
US

V. Phone/Fax

Practice location:
  • Phone: 949-813-8637
  • Fax:
Mailing address:
  • Phone: 949-813-8637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: LISE KETTERER
Title or Position: PRESIDENT
Credential: LNHA/COTA
Phone: 949-813-8637