SENIOR RESOURCE DEVELPMENT AGENCY INC. NPI 1386702025

NPI Information

  • NPI: 1386702025
  • Provider Name: SENIOR RESOURCE DEVELPMENT AGENCY, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: LIFELINE
  • Address: 230 N UNION AVE
    PUEBLO, CO
    ZIP 81003
  • Phone: (719) 545-1212

Map and Directions

Get Directions

NPI Details

SENIOR RESOURCE DEVELPMENT AGENCY, INC. is a durable medical equipment medical supplies in Pueblo, CO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SENIOR RESOURCE DEVELPMENT AGENCY, INC. NPI is 1386702025. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline.

The provider's business location address is:

230 N UNION AVE
PUEBLO, CO
ZIP 81003-207
Phone: (719) 545-1212
Fax: (719) 545-1803

The provider's authorized official is Sarah Nicholas .
The authorized official title is Program Development Director and has the following contact phone number (719) 545-1212.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies980323COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104138806MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI