Provider Demographics
NPI:1225756299
Name:MOBIUS HEALTHCARE STRATEGIES LLC
Entity Type:Organization
Organization Name:MOBIUS HEALTHCARE STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISE
Authorized Official - Middle Name:
Authorized Official - Last Name:KETTERER
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA/COTA
Authorized Official - Phone:949-813-8637
Mailing Address - Street 1:3578 HARTSEL DR UNIT 335
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-2103
Mailing Address - Country:US
Mailing Address - Phone:949-813-8637
Mailing Address - Fax:
Practice Address - Street 1:2750 KITTYHAWK RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1441
Practice Address - Country:US
Practice Address - Phone:949-813-8637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care