Mobilelife LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILELIFE LLC

Practice address

73 Airport Rd Ste 3
Arden, NC 28704-9527

Phone

(828) 676-2760

Fax

(828) 676-2759

NPI assigned

Mar 4, 2019

Organization subpart

No

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

Authorized official

Name

Shane Fox, DME

Title

Owner-Manager

Phone

(828) 676-2760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1255899837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 AIRPORT RD STE 3",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049527",
            "telephone_number": "828-676-2760",
            "fax_number": "828-676-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 AIRPORT RD STE 3",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287049527",
            "telephone_number": "828-676-2760",
            "fax_number": "828-676-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILELIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "828-676-2760",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY DME & DEVICE",
            "identifier": "02568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.