Provider Demographics
NPI:1073816625
Name:SHALOM C'AIRS OXYGEN, LLC
Entity Type:Organization
Organization Name:SHALOM C'AIRS OXYGEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STENERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-680-5000
Mailing Address - Street 1:14800 E BELLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2258
Mailing Address - Country:US
Mailing Address - Phone:303-680-5000
Mailing Address - Fax:
Practice Address - Street 1:5240 S SHALOM PARK CIR APT 2111
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2266
Practice Address - Country:US
Practice Address - Phone:303-680-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies