Provider Demographics
NPI:1093314379
Name:ADAPTIVE MOBILITY, LLC
Entity Type:Organization
Organization Name:ADAPTIVE MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADAPTIVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBILITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-204-5008
Mailing Address - Street 1:6385 CORPORATE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-5912
Mailing Address - Country:US
Mailing Address - Phone:719-204-5008
Mailing Address - Fax:
Practice Address - Street 1:6385 CORPORATE DR STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-5912
Practice Address - Country:US
Practice Address - Phone:719-204-5008
Practice Address - Fax:719-982-7494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment