Provider Demographics
NPI:1760446397
Name:ADAPTIVE EQUIPMENT COMPANY
Entity Type:Organization
Organization Name:ADAPTIVE EQUIPMENT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TIFFANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-789-5500
Mailing Address - Street 1:3500 S LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3632
Mailing Address - Country:US
Mailing Address - Phone:303-783-9999
Mailing Address - Fax:303-789-5599
Practice Address - Street 1:3500 S LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3632
Practice Address - Country:US
Practice Address - Phone:303-783-9999
Practice Address - Fax:303-789-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08002404Medicaid
CO82053OtherFEDERAL BLUE CROSS
MT5604976Medicaid
CO=========OtherTAX ID
CO08002404Medicaid