Organization Active NPI

Promise Mobility LLC

  • Home Modifications Contractor
  • Saint Louis, MO
National Provider Identifier
1154788156
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
PROMISE MOBILITY LLC
Practice address
5 S Newstead Ave
Saint Louis, MO 63108-2213
Phone
(314) 302-4908
NPI assigned
Jan 21, 2016
Last updated
Feb 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Mr. Charles H Felker
Title
Ceo
Phone
(314) 302-4908

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Home Modifications Contractor 171WH0202X NU Primary

Addresses

Primary practice location

5 S Newstead Ave
Saint Louis, MO 63108-2213

Mailing address

5 S Newstead Ave
Saint Louis, MO 63108-2213

National Provider Directory

National Provider Directory

Locations

5 S Newstead Ave
Saint Louis, MO 63108
Phone (314) 302-4908

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1154788156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S NEWSTEAD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S NEWSTEAD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082213",
            "telephone_number": "314-302-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "FELKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-302-4908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.