MEDICARE: ATTENTIVE CARE MEDICAL SUPPLY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1619282498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATTENTIVE CARE MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	1385 S COLORADO BLVD
Second Line	:	SUITE 209
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	720-435-7326
Fax Number	:	720-946-1822

Provider Business Practice Location Address
First Line	:	1385 S COLORADO BLVD
Second Line	:	SUITE 209
City	:	DENVER
State	:	CO
Zip	:	80222-3304
Country	:	US
Telephone Number	:	720-435-7326
Fax Number	:	720-946-1822

Authorized Official
Title or Position	:	MANAGER
Name	:	IGOR BALABAN
Credential	:
Telephone Number	:	303-668-5176

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	08/17/2010

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