Provider Demographics
NPI:1639448434
Name:SMART START SERVICES, INC.
Entity Type:Organization
Organization Name:SMART START SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-945-3090
Mailing Address - Street 1:6860 SOUTH YOSEMITE COURT
Mailing Address - Street 2:SUITE 2119
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-945-3090
Mailing Address - Fax:720-293-5766
Practice Address - Street 1:6860 SOUTH YOSEMITE COURT
Practice Address - Street 2:SUITE 2119
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-945-3090
Practice Address - Fax:720-293-5766
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMART START SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies