MEDICARE: NEVCO, 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	:	1902250939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVCO, LLC

Provider Business Mailing Address
First Line	:	4704 HARLAN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80212-7415
Country	:	US
Telephone Number	:	720-382-1008
Fax Number	:	720-382-1012

Provider Business Practice Location Address
First Line	:	2821 S PARKER RD
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	405-888-0459
Fax Number	:	720-367-5320

Authorized Official
Title or Position	:	CEO
Name	:	CLIFF HOLMES
Credential	:
Telephone Number	:	303-332-6346

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	04/15/2016

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Directions to “NEVCO, LLC ” Practice Location

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