Organization Active NPI

Cleveland Home Medical and Mobility

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, NC
National Provider Identifier
1013192137
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00754 Issued in NC
Legal business name
CLEVELAND HOME MEDICAL AND MOBILITY
Practice address
11743 Statesville Blvd
Cleveland, NC 27013-9419
Phone
(704) 278-4596
Fax
(704) 278-1676
NPI assigned
Jan 8, 2008
Organization subpart
Yes
Parent organization
CLEVELAND DRUG COMPANY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Ms. Claudia Ellen Register
Title
President/Owner
Phone
(704) 278-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00754 NC Primary

Addresses

Primary practice location

11743 Statesville Blvd
Cleveland, NC 27013-9419

Mailing address

11743 Statesville Blvd
Cleveland, NC 27013-9419
Phone (704) 278-4596

Other identifiers 1

IdentifierTypeStateIssuer
0805671MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Drug Co Inc2 organizations share this tax ID, including this one
Part of
Cleveland Drug Co Inc

Other organizations with this tax ID 1

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

Locations

11743 Statesville Blvd
Cleveland, NC 27013
Phone (704) 278-4029

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1013192137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11743 STATESVILLE BLVD",
            "city": "CLEVELAND",
            "state": "NC",
            "postal_code": "270139419",
            "telephone_number": "704-278-4596",
            "fax_number": "704-278-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11743 STATESVILLE BLVD",
            "city": "CLEVELAND",
            "state": "NC",
            "postal_code": "270139419",
            "telephone_number": "704-278-4596",
            "fax_number": "704-278-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND HOME MEDICAL AND MOBILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEVELAND DRUG COMPANY, INC.",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "REGISTER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-278-4788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805671",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.