Active NPI
Shield Denver Health Care Center Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Aurora, CO
National Provider Identifier
1962516989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 21-45408-0000
- Legal business name
- SHIELD DENVER HEALTH CARE CENTER INC
- Practice address
- 2450 Airport Blvd Unit H
Aurora, CO 80011-7724 - Phone
- (303) 745-0462
- Fax
- (303) 845-3002
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Suor
- Title
- VP General Manager
- Phone
- (661) 294-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 21-45408-0000 | CO | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 21-45408-0000 | CO | Primary |
Addresses
Primary practice location
2450 Airport Blvd Unit H
Aurora, CO 80011-7724
Mailing address
27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08701831 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930026383 | CO | DME Supplier - Medical Supply Company | 7315065984 | Practice locations: Aurora, CO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Elmhurst, IL
- NPI 1124132154
7315065984
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shield-Denver Health Care Center in | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nut… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Shield Denver Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Elmhurst, IL
- NPI 1124132154
Locations
18150 E 32nd Pl
Ste C
Aurora, CO 80011
2450 Airport Blvd
Unit H
Aurora, CO 80011
Phone (303) 745-0462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1962516989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27911 FRANKLIN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554110",
"telephone_number": "661-294-4200",
"fax_number": "661-294-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 AIRPORT BLVD UNIT H",
"city": "AURORA",
"state": "CO",
"postal_code": "800117724",
"telephone_number": "303-745-0462",
"fax_number": "303-845-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIELD DENVER HEALTH CARE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "SUOR",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "VP GENERAL MANAGER",
"authorized_official_telephone_number": "661-294-4200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "21-45408-0000",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CO",
"license": "21-45408-0000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08701831",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.