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SENIOR RESOURCE DEVELPMENT AGENCY INC. NPI 1386702025


NPI Information

NPI: 1386702025
Provider Name: SENIOR RESOURCE DEVELPMENT AGENCY, INC.

Doing Business As: LIFELINE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
230 N UNION AVE
PUEBLO, CO
ZIP 81003
Phone: (719) 545-1212
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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

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