Provider Demographics
NPI:1821681396
Name:FRIENDS WITH DISABILITIES LLC
Entity Type:Organization
Organization Name:FRIENDS WITH DISABILITIES LLC
Other - Org Name:FWD MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-324-8939
Mailing Address - Street 1:13900 E FLORIDA AVE STE D
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5821
Mailing Address - Country:US
Mailing Address - Phone:720-324-8939
Mailing Address - Fax:
Practice Address - Street 1:13900 E FLORIDA AVE STE D
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5821
Practice Address - Country:US
Practice Address - Phone:720-324-8939
Practice Address - Fax:855-730-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000194845Medicaid
CO20216000369OtherDME SUPPLIER LICENSE