Active NPI
Your Mobile Cosmo
- Prosthetic/Orthotic Supplier
- Youngstown, OH
National Provider Identifier
1144077090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- YOUR MOBILE COSMO
- Practice address
- 7401 Market St
Youngstown, OH 44512-5621 - Phone
- (866) 897-4301
- NPI assigned
- Apr 30, 2024
- 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
- Kanisha Teemer, CPS
- Title
- Ceo
- Phone
- (866) 897-4301
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
7401 Market St
Youngstown, OH 44512-5621
Mailing address
940 Compass West Dr
Youngstown, OH 44515-3440
Phone (330) 787-7911
Other names 1
- YOUR MOBILE COSMO
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Youngstown, OH
- NPI 1437843273
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1144077090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 COMPASS WEST DR",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445153440",
"telephone_number": "330-787-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125621",
"telephone_number": "866-897-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR MOBILE COSMO",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "TEEMER",
"authorized_official_first_name": "KANISHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-897-4301",
"authorized_official_credential": "CPS"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YOUR MOBILE COSMO",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.