Blue Star Mobility, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

44821 Issued in CA

Legal business name

BLUE STAR MOBILITY, INC.

Practice address

2131 S Van Ness Ave
Fresno, CA 93721-3422

Phone

(559) 441-7827

Fax

(559) 441-7829

NPI assigned

Dec 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garrett Paul Ware

Title

Ceo

Phone

(559) 441-7827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184785974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 S VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937213422",
            "telephone_number": "559-441-7827",
            "fax_number": "559-441-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S VAN NESS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937213422",
            "telephone_number": "559-441-7827",
            "fax_number": "559-441-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-441-7827",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "44821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert John Blossom, MD
• Blossoming Home Health Care
• Linda P Bloys, RDO
• Blue Axiro LLC
• Blue Circuit LLC
• Blue Star Mobility, Incorporated
• Daniel Lewis Bluestone, MD
• Jerome Blum, FNP
• BNB Non Emergency Medical Transportation. LLC
• Tria Pearl Paires Boado Biltz, LCSW, PPSC

• Customized Equipment (DME) in Fresno, CA
• Providers in Fresno, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.