BOOMER MEDICAL SUPPLY (NPI# 1972937043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972937043 |
Entity Type | Organization |
Organization Name | BOOMER MEDICAL SUPPLY |
Practice Address |
17935 E Florida Dr Aurora CO 80017-5315 |
Mailing Address |
5520 E 33rd Ave Denver CO 80207-2028 |
Practice Telephone | 7209989552 |
Practice Fax Number | 7202823215 |
Mailing Telephone | 7209989552 |
Mailing Fax Number | 7202823215 |
Enumeration Date | 2013-08-26 |
Last Update Date | 2013-08-26 |
Authorized Official Name | TIFFANY D SMITH (MEMBER) |
Authorized Official Telephone | 7209989552 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
922564188 | CO | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 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 E FLORIDA DR |
City | AURORA |
State | CO |
Zip Code | 80017-5315 |
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 |
1184058281 | Boomer Medical Supply | Durable Medical Equipment & Medical Supplies | 17935 East Florida Drive, Aurora, CO 80017 | 2013-08-26 |
Find all providers in zip 80017 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023415163 | Inogen Inc | Durable Medical Equipment & Medical Supplies | 2600 S Parker Rd Ste 5-151, Aurora, CO 80014-1691 | 2014-12-03 |
1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
1073816625 | Shalom C'airs Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5240 S Shalom Park Cir Apt 2111, Aurora, CO 80015-2266 | 2010-12-20 |
1275861312 | All Care Medical Supplies | Durable Medical Equipment & Medical Supplies | 11000 E Yale Ave, Suite 133, Aurora, CO 80014-1753 | 2009-12-01 |
1760688543 | Sergey Voskovykh | Durable Medical Equipment & Medical Supplies | 12083 E Harvard Ave # 1-204, Aurora, CO 80014-7636 | 2007-06-26 |
1619172533 | Best West Oxygen Supply, LLC | Durable Medical Equipment & Medical Supplies | 15300 E Chenango Ave, Aurora, CO 80015-1702 | 2007-06-20 |
1548331895 | Midtown Express Inc | Durable Medical Equipment & Medical Supplies | 20 S Havana St Ste 203, Aurora, CO 80012-1073 | 2006-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
1194372235 | Sprylyfe Inc | Durable Medical Equipment & Medical Supplies | 14 Inverness Dr E Ste B132, Englewood, CO 80112-5648 | 2019-08-22 |
1275187882 | Colorado Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 7345 S Pierce St # 204, Littleton, CO 80128-7207 | 2019-07-31 |
1750859583 | Ascent Health Services LLC | Durable Medical Equipment & Medical Supplies | 1611 Alma Ave Ofc 1, Pueblo, CO 81004-2609 | 2018-11-09 |
1306336268 | Mountain Oxygen & Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 486 Pine St., Minturn, CO 81645 | 2018-05-16 |
1598268294 | Jerimie Jamee Jacob Olvera | Durable Medical Equipment & Medical Supplies | 11674 Granby St, Commerce City, CO 80603-7203 | 2018-03-09 |
1174021547 | Oxygen To You | Durable Medical Equipment & Medical Supplies | 500 Trailhead Circle, #521, Winter Park, CO 80482 | 2018-01-31 |
1134665490 | Alliance Home Care, LLC | Durable Medical Equipment & Medical Supplies | 1402 S Parker Rd # A-104, Denver, CO 80231-2758 | 2017-01-11 |
1154789279 | Hartman Brothers, Inc | Durable Medical Equipment & Medical Supplies | 565 25 Rd Ste A101, Grand Junction, CO 81505-1338 | 2016-02-03 |
1144602707 | Metro Aire Ltd | Durable Medical Equipment & Medical Supplies | 7943 Emerson St, Denver, CO 80229-5924 | 2015-06-19 |
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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.