Provider Demographics
NPI:1720432826
Name:ASCENT MOBILITY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ASCENT MOBILITY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-545-9222
Mailing Address - Street 1:747 SHERIDAN BLVD UNIT 4B
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-2560
Mailing Address - Country:US
Mailing Address - Phone:720-545-9222
Mailing Address - Fax:
Practice Address - Street 1:747 SHERIDAN BLVD UNIT 4B
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-2560
Practice Address - Country:US
Practice Address - Phone:720-545-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51087863Medicaid