Organization Active NPI

Alliance Medical Supply LLC

  • In Home Supportive Care Agency
  • Denver, CO
National Provider Identifier
1043004021
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ALLIANCE MEDICAL SUPPLY LLC
Practice address
9725 E Hampden Ave Ste 102B
Denver, CO 80231-4916
Phone
(720) 334-6681
Fax
(303) 284-6760
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathan Nicholas Bohlen
Title
Ceo
Phone
(720) 334-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9725 E Hampden Ave Ste 102B
Denver, CO 80231-4916

Mailing address

9725 E Hampden Ave Ste 102B
Denver, CO 80231-4916
Phone (720) 334-6681

National Provider Directory

National Provider Directory

Locations

9725 E Hampden Ave
Ste 102B
Denver, CO 80231
Phone (720) 334-6681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1043004021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 E HAMPDEN AVE STE 102B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314916",
            "telephone_number": "720-334-6681",
            "fax_number": "720-334-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 E HAMPDEN AVE STE 102B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314916",
            "telephone_number": "720-334-6681",
            "fax_number": "303-284-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "BOHLEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-334-6681"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.