Organization Active NPI

JM Mobility, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Little Rock, AR
National Provider Identifier
1013374792
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Dec 27, 2016

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

Authorized official

Name
Jacent L WinstonNPI 1457724742
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
217176716MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.