Aithr Dealer Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2705156243 Issued in VA

Legal business name

AITHR DEALER INC

Doing business as

Aging in the Home Remodelers

Practice address

3900 S Wadsworth Blvd
Ste 200
Lakewood, CO 80235-2203

Phone

(720) 504-0126

NPI assigned

Jul 6, 2016

Last updated

Jul 6, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

FIRSTSTREET FOR BOOMERS AND BEYOND, INCAs reported in NPPES

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

Authorized official

Name

Matt GlassNPI 1023460854

Title

Shareholder

Phone

(720) 504-0126

Specialties & licenses 13

Addresses

Other names 1

• Aging in the Home Remodelers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matt Glass

  • Home Modifications Contractor
  • Lakewood, CO
  • NPI 1023460854
  NPD (past) Authorized official

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1790137495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 RUFFIN MILL RD",
            "city": "SOUTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "238345913",
            "telephone_number": "303-222-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 S WADSWORTH BLVD",
            "address_2": "STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352203",
            "telephone_number": "720-504-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AITHR DEALER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSTREET FOR BOOMERS AND BEYOND, INC",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "720-504-0126"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "2014605400",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "44690",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PA112522",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "CC AITHRDI864M9",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1001047",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "882879",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "132123",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "BC663730",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "79204",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "379703",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "206632",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "44179",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "2705156243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging in the Home Remodelers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rihab Ahmed-Taha, MD
• Afreen Ahmed
• Orapunn Aicher, OTR
• R Brian Aikin, MD
• Airo2
• Mohammed Adnan Akbani, NP
• Mark S Akers, D.C.
• Saleh Ali Al-Haliyat
• Tanya Alale
• Alyssa Renee Alba

• Durable Medical Equipment & Medical Supplies in Lakewood, CO
• Providers in Lakewood, 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 Jul 6, 2016; 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.