Centennial Med Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTENNIAL MED SUPPLY LLC

Practice address

1805 S Bellaire St Ste 480-01
Denver, CO 80222-4305

Phone

(720) 986-4960

Fax

(720) 912-5561

NPI assigned

Mar 26, 2024

Organization subpart

No

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

Authorized official

Name

Kahka Bendeliani

Title

Owner

Phone

(720) 986-4960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1609626167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 480-01",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224305",
            "telephone_number": "720-986-4960",
            "fax_number": "720-912-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 S BELLAIRE ST STE 480-01",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224305",
            "telephone_number": "720-986-4960",
            "fax_number": "720-912-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL MED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BENDELIANI",
        "authorized_official_first_name": "KAHKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-986-4960"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestial Massage, LLC
• Celia Myers
• Francesca Celupica, LPC
• Kayla Ann Cemensky
• Centennial Home Health Care Inc
• Centennial Medical Lab LLC
• Center at Lowry, LLC
• Center for Advanced Diagnostics, LLC
• Center for Autism and Related Disorders LLC
• Center for Autism and Related Disorders LLC

• Durable Medical Equipment & Medical Supplies in Denver, CO
• Providers in Denver, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.