Organization Active NPI

Jennmike Inc.

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
National Provider Identifier
1275158198
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JENNMIKE INC.
Doing business as
Mobility Plus - Evansville
Practice address
525 N Green River Rd
Evansville, IN 47715-2472
Phone
(812) 550-1444
Fax
(812) 550-1441
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Jennifer Marie Caggiano
Title
Secretary/Treasurer
Phone
(812) 550-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

525 N Green River Rd
Evansville, IN 47715-2472

Mailing address

1975 Saint Lucia Dr
Newburgh, IN 47630-9668
Phone (216) 246-9256

Other identifiers 1

IdentifierTypeStateIssuer
69001599AOtherININDIANA PROFESSIONAL LICENSING AGENCY

Other names 1

  • Mobility Plus - Evansville Doing business as

National Provider Directory

National Provider Directory

Locations

525 N Green River Rd
Evansville, IN 47715
Phone (812) 550-1444

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1275158198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 SAINT LUCIA DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309668",
            "telephone_number": "216-246-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GREEN RIVER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152472",
            "telephone_number": "812-550-1444",
            "fax_number": "812-550-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNMIKE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "CAGGIANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "812-550-1444"
    },
    "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": "INDIANA PROFESSIONAL LICENSING AGENCY",
            "identifier": "69001599A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Plus - Evansville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobility Plus - Evansville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.