Jva Mobility, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JVA MOBILITY, INC.

Practice address

4701 J St SW
Cedar Rapids, IA 52404-4911

Phone

(319) 366-3533

Fax

(319) 366-3652

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renae I Bockholt

Title

Vice Pres / Controller

Phone

(319) 404-4198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jva Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
  • NPI 1982763207

  8628285426

  Same PAC ID

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

Tax ID family

Jva Mobility Inc2 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.

• Jva Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
  • NPI 1982763207
  NPD tax ID

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1003284936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 FALLS AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015724",
            "telephone_number": "319-226-3363",
            "fax_number": "319-226-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 J ST SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044911",
            "telephone_number": "319-366-3533",
            "fax_number": "319-366-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JVA MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BOCKHOLT",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VICE PRES / CONTROLLER",
        "authorized_official_telephone_number": "319-404-4198"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nashae Julian, PHD, LMHC
• Nadia Siddiq Juneja, MD
• James L Justice, MD
• K & K Wellness LLC PLC
• Jerry W. Kaalberg, DDS
• Taylor Kay Kaas
• Toutou Kadiata
• Thane Ann Kading, RPH

• Customized Equipment (DME) in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Customized Equipment (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.