Affordable Freedom Mobility, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

313-6GK Issued in SC

Legal business name

AFFORDABLE FREEDOM MOBILITY, LLC

Practice address

401 Walkingstick Way
Simpsonville, SC 29680-7224

Phone

(864) 593-6148

NPI assigned

May 7, 2014

Last updated

May 7, 2014By 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

Ms. Connie B BootheNPI 1326466483

Title

Owner/Operator

Phone

(864) 593-6148

Specialties & licenses 1

Addresses

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.

• Connie Beth Boothe

  • Non-emergency Medical Transport (VAN)
  • Simpsonville, SC
  • NPI 1326466483
  NPD (past) Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1013327410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WALKINGSTICK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807224",
            "telephone_number": "864-593-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WALKINGSTICK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807224",
            "telephone_number": "864-593-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE FREEDOM MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BOOTHE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "864-593-6148",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "313-6GK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.