Active NPI
JM Mobility, LLC
- Durable Medical Equipment & Medical Supplies
- North Little Rock, AR
National Provider Identifier
1013374792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JM MOBILITY, LLC
- Practice address
- 5301 McClanahan Dr
Suite A4
North Little Rock, AR 72116-7001 - Phone
- (501) 904-2719
- Fax
- (501) 904-2714
- NPI assigned
- Jan 26, 2016
- 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
- Jacent L Winston
- Title
- Ceo
- Phone
- (501) 904-2719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5301 McClanahan Dr
Suite A4
North Little Rock, AR 72116-7001
Mailing address
5301 McClanahan Dr
Suite A4
North Little Rock, AR 72116-7001
Phone (501) 904-2719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217176716 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
5301 McClanahan Dr
Ste A4
North Little Rock, AR 72116
Phone (501) 904-2719
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Customized Equipment (DME)
- North Little Rock, AR
- NPI 1457724742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482796800000",
"number": "1013374792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 MCCLANAHAN DR",
"address_2": "SUITE A4",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167001",
"telephone_number": "501-904-2719",
"fax_number": "501-904-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 MCCLANAHAN DR",
"address_2": "SUITE A4",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167001",
"telephone_number": "501-904-2719",
"fax_number": "501-904-2714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JM MOBILITY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-26",
"last_updated": "2016-12-27",
"status": "A",
"authorized_official_last_name": "WINSTON",
"authorized_official_first_name": "JACENT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-904-2719"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217176716",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.