Provider Demographics
NPI:1205292588
Name:DISABILITY SERVICES, INC
Entity type:Organization
Organization Name:DISABILITY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEHLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-633-4602
Mailing Address - Street 1:5660 N ACADEMY BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3659
Mailing Address - Country:US
Mailing Address - Phone:719-633-4601
Mailing Address - Fax:
Practice Address - Street 1:5660 N ACADEMY BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3659
Practice Address - Country:US
Practice Address - Phone:719-633-4601
Practice Address - Fax:719-633-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-03
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
CO04E984253Z00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35629771Medicaid
CO67236821Medicaid
CO89088077Medicaid