Senior Mobility AIDS, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SENIOR MOBILITY AIDS, INC.

Practice address

26 E Main St Ste 4
Walla Walla, WA 99362-1957

Phone

(888) 398-3559

Fax

(760) 599-8844

NPI assigned

May 4, 2021

Organization subpart

Yes

Parent organization

SENIOR MOBILITY AIDS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Allen Lafayette Newsome Jr., ATP

Title

President

Phone

(760) 599-8800

Specialties & licenses 2

Addresses

Other names 1

• Senior Mobility WA Doing business as

Tax ID family

Senior Mobility AIDS Inc3 organizations share this tax ID, including this one

Part of

Senior Mobility AIDS Inc

Other organizations with this tax ID 2

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

• Senior Mobility AIDS, Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
  • NPI 1851403620
  NPD tax ID
• Senior Mobility AIDS, Inc.

  • Customized Equipment (DME)
  • Carlsbad, CA
  • NPI 1992237168
  NPD tax ID

Locations

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1104409457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 EL CAMINO REAL # 105-253",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094100",
            "telephone_number": "760-845-7032",
            "fax_number": "760-599-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST STE 4",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621957",
            "telephone_number": "888-398-3559",
            "fax_number": "760-599-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MOBILITY AIDS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR MOBILITY AIDS, INC.",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "LAFAYETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-599-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Mobility WA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Mobility WA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric R Schwartzkopf, MD
• Jason Sedarsky, M.D.
• Kaye Evelyn Sedarsky, M.D.
• Toma Selfa, RN
• Mekayla Ane Sengsavang
• Seniors Caring for Seniors
• Stefanie Serafine
• Serenity Point Counseling Services
• Marie Kylee Manon Seto-Herr, DPT
• Sew RN Delegation LLC

• Customized Equipment (DME) in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Customized Equipment (DME) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.