BOOMER MEDICAL SUPPLY (NPI# 1184058281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184058281 |
| Entity Type | Organization |
| Organization Name | BOOMER MEDICAL SUPPLY |
| Practice Address |
17935 East Florida Drive Aurora CO 80017 |
| Mailing Address |
17935 E Florida Dr Aurora CO 80017-5315 |
| Practice Telephone | 2819139425 |
| Practice Fax Number | 7202823215 |
| Mailing Telephone | 2819139425 |
| Mailing Fax Number | 7202823215 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | TIFFANY D CALISE (MEMBER) |
| Authorized Official Telephone | 2819139425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | CO | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972937043 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 E Florida Dr, Aurora, CO 80017-5315 | 2013-08-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Boomer Medical Supply | 820 Ironton St 104, Aurora, CO 80012 |
| Street Address |
17935 EAST FLORIDA DRIVE |
| City | AURORA |
| State | CO |
| Zip Code | 80017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425133 | Jennifer Camp | Registered Nurse | 2500 South Parker Road, Parker, CO 80017 | 2017-09-08 |
| 1679002034 | Rukecha LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1425 S Ensenada St, Aurora, CO 80017 | 2017-06-08 |
| 1649714395 | Bruk Transportation LLC | Non-emergency Medical Transport (VAN) | 18091 E Kentucky Ave, Apt. 103, Aurora, CO 80017 | 2016-12-15 |
| 1477909604 | Agape Transit LLC | Non-emergency Medical Transport (VAN) | 1660 S Chambers Rd, Aurora, CO 80017 | 2016-05-06 |
| 1831552918 | Ayinalem Sima | Non-emergency Medical Transport (VAN) | 1720 S Quintero Way, Aurora, CO 80017 | 2016-04-05 |
| 1821450446 | Malayah Stamps | Technician, Other | 16202 E Alabama Dr, Aurora, CO 80017 | 2016-03-23 |
| 1033574330 | Melissa Rose Harmon | Student in an Organized Health Care Education/Training Program | 1234 Bell, Aurora, CO 80017 | 2015-12-31 |
| 1770951154 | Smooth Ride Services, LLC | Non-emergency Medical Transport (VAN) | 16492 E Wyoming Dr, Aurora, CO 80017 | 2015-09-02 |
| 1063893857 | Belew B Yigletu Sr. | Driver | 15330 E Center Ave # N204, Aurora, CO 80017 | 2015-06-17 |
| 1649572553 | Angels of Colorado Home Care LLC | In Home Supportive Care | 1332 S. Yampa Ct., Aurora, CO 80017 | 2010-11-29 |
| Find all providers in zip 80017 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912537762 | Moa LLC | Durable Medical Equipment & Medical Supplies | 2851 S Parker Rd Ste 984, Aurora, CO 80014-2705 | 2020-01-21 |
| 1871134544 | Tori Velasquez | Durable Medical Equipment & Medical Supplies | 13950 E Oxford Pl Apt A301, Aurora, CO 80014-7122 | 2019-10-03 |
| 1699321778 | Rocky Mountain Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3350 Peoria St Ste 100, Aurora, CO 80010-1484 | 2019-08-14 |
| 1619522943 | Entramed, Inc | Durable Medical Equipment & Medical Supplies | 2821 S Parker Rd Ste 405, Aurora, CO 80014-2748 | 2019-08-05 |
| 1962063305 | Mta Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2620 S Parker Rd Ste 273, Aurora, CO 80014-1627 | 2019-06-26 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1023573466 | Star Medical | Durable Medical Equipment & Medical Supplies | 7039 S Picadilly St, Aurora, CO 80016-2344 | 2019-02-08 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1255839759 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 21111 E 36th Dr, Aurora, CO 80011-8152 | 2018-01-30 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.