Organization Active NPI

MP Supports LLC

  • Customized Equipment (DME)
  • Elkhart, IN
National Provider Identifier
1215557137
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MP SUPPORTS LLC
Practice address
1178 Fremont CT Ste 1F
Elkhart, IN 46516-9321
Phone
(219) 992-0648
Fax
(574) 293-7004
NPI assigned
Apr 21, 2020
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Dr. Mark Schneider Schneider
Title
Member
Phone
(574) 536-3260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

1178 Fremont CT Ste 1F
Elkhart, IN 46516-9321

Mailing address

1178 Fremont CT Ste 1F
Elkhart, IN 46516-9321
Phone (219) 992-0648

National Provider Directory

National Provider Directory

Locations

1178 Fremont Ct
Ste 1F
Elkhart, IN 46516
Phone (219) 992-0648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1215557137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 FREMONT CT STE 1F",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169321",
            "telephone_number": "219-992-0648",
            "fax_number": "574-293-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 FREMONT CT STE 1F",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169321",
            "telephone_number": "219-992-0648",
            "fax_number": "574-293-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP SUPPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "MARK SCHNEIDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-536-3260",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.