Provider Demographics
NPI:1275187882
Name:COLORADO MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:COLORADO MEDICAL SUPPLY INC
Other - Org Name:PERSONAL HOME CARE PLUS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROCKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-466-4886
Mailing Address - Street 1:8061 SHAFFER PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3762
Mailing Address - Country:US
Mailing Address - Phone:844-988-7575
Mailing Address - Fax:720-749-1766
Practice Address - Street 1:7345 S PIERCE ST # 204
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-7207
Practice Address - Country:US
Practice Address - Phone:844-988-7575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies