Healthcare Provider Details

I. General information

NPI: 1912484155
Provider Name (Legal Business Name): MOBILITY SERVICES OF COLORADO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 12/14/2020
Certification Date: 12/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 E QUINCY AVE UNIT 1900
DENVER CO
80237-3240
US

IV. Provider business mailing address

8000 E QUINCY AVE UNIT 1900
DENVER CO
80237-3240
US

V. Phone/Fax

Practice location:
  • Phone: 303-459-6990
  • Fax:
Mailing address:
  • Phone: 303-459-6990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KURT SHYMANSKI
Title or Position: PRESIDENT
Credential:
Phone: 303-459-6990