Organization Active NPI

CLR Medical & Security Systems

  • Durable Medical Equipment & Medical Supplies
  • Windsor, CO
National Provider Identifier
1629190012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLR MEDICAL & SECURITY SYSTEMS
Practice address
2115 Cape Hatteras Dr
Windsor, CO 80550-3538
Phone
(877) 813-8310
Fax
(979) 686-7086
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Shimon
Title
Operations Manager
Phone
(877) 813-8310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2115 Cape Hatteras Dr
Windsor, CO 80550-3538

Mailing address

PO Box 327
Windsor, CO 80550-0327
Phone (877) 813-8310

Other identifiers 1

IdentifierTypeStateIssuer
04141156MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629190012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805500327",
            "telephone_number": "877-813-8310",
            "fax_number": "970-686-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CAPE HATTERAS DR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503538",
            "telephone_number": "877-813-8310",
            "fax_number": "979-686-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLR MEDICAL & SECURITY SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIMON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "877-813-8310"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04141156",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.