1073618351 NPI number — ASSISTED MOBILITY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073618351 NPI number — ASSISTED MOBILITY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSISTED MOBILITY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073618351
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
380 SOUTH POTOMAC WAY
Provider Second Line Business Mailing Address:
UNIT #115
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80012-3542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-363-0800
Provider Business Mailing Address Fax Number:
303-363-0803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
380 SOUTH POTOMAC WAY
Provider Second Line Business Practice Location Address:
UNIT #115
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80012-3542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-363-0800
Provider Business Practice Location Address Fax Number:
303-363-0803
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRITT
Authorized Official First Name:
MARY
Authorized Official Middle Name:
SUE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-363-0800

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 26-65428 . This is a "SALES TAX NUMBER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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