Organization Active NPI

Your Mobile Cosmo

  • Prosthetic/Orthotic Supplier
  • Youngstown, OH
National Provider Identifier
1144077090
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Kanisha Teemer, CPSNPI 1437843273
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.