Organization Active NPI

Shield Denver Health Care Center Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Aurora, CO
National Provider Identifier
1962516989
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
21-45408-0000 Issued in CO
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

Updated by the provider on Jan 14, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08701831MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Shield-Denver Health Care Center in2450 Airport Blvd, Aurora, CO 80011-7724(303) 745-0462 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Shield Denver Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.