Healthcare Provider Details

I. General information

NPI: 1013119080
Provider Name (Legal Business Name): HYGEIA MEDICAL SUPPLIES AND SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 HERITAGE RD STE 130
GOLDEN CO
80401-3600
US

IV. Provider business mailing address

1100 JOHNSON RD UNIT 18151
GOLDEN CO
80402-7288
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-9413
  • Fax:
Mailing address:
  • Phone: 303-758-9413
  • 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: MR. KOUROSH MOTLAGH
Title or Position: PRESIDENT
Credential:
Phone: 303-758-9413