Active NPI
WMK, LLC
- Vehicle Modifications Contractor
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- Legal business name
- WMK, LLC
- Practice address
- 810 Moe Dr
Akron, OH 44310-2517 - Phone
- (330) 633-1118
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Malott
- Title
- Compliance Manager
- Phone
- (234) 200-1382
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | |||
| Vehicle Modifications Contractor | 171WV0202X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
810 Moe Dr
Akron, OH 44310-2517
Mailing address
4199 Kinross Lakes Pkwy Ste 300
Attn: Compliance
Richfield, OH 44286-9394
Phone (234) 200-1382
Other practice location 1
6473 De Zavala Rd
San Antonio, TX 78249-2343
Phone (210) 697-8884
Other practice location 2
4025 Queen City Dr
Charlotte, NC 28208-3509
Phone (704) 399-0900
Other practice location 3
3560 Sheridan Dr
Buffalo, NY 14226-1630
Phone (716) 342-3530
Other practice location 4
1012 Seco Rd
Monroeville, PA 15146-1448
Phone (412) 824-8091
Other practice location 5
21704 87th Ave SE
Woodinville, WA 98072-8017
Phone (425) 481-6546
Other practice location 6
6053 Tacoma Mall Blvd
Tacoma, WA 98409-6826
Phone (253) 267-5280
Other practice location 7
1770 W 81st Ave
Merrillville, IN 46410-5349
Phone (219) 796-0700
Other practice location 8
4044 S 60th St
Omaha, NE 68117-1220
Phone (402) 313-3377
Other practice location 9
3327 S Sam Houston Pkwy E
Houston, TX 77047-6548
Phone (346) 226-6998
Other practice location 10
1766 Hammond St
Hermon, ME 04401-1119
Phone (207) 848-8226
Other practice location 11
80 E Jefryn Blvd
Deer Park, NY 11729-5755
Phone (631) 254-4031
Other practice location 12
3115 Oak Knoll Dr
Eau Claire, WI 54701-8485
Phone (715) 495-1310
Other practice location 13
844 Ontario Rd
Green Bay, WI 54311-8018
Phone (920) 491-8384
Other practice location 14
5460 Campbells Run Rd
Pittsburgh, PA 15205-1026
Phone (412) 799-6929
Other practice location 15
2110 N Beach St
Fort Worth, TX 76111-6812
Phone (817) 429-1273
Other practice location 16
1640 S Abilene St
Aurora, CO 80012-5872
Phone (702) 722-2680
Other practice location 17
9675 S Compass Dr
Rossford, OH 43460-1740
Phone (419) 476-4890
Other practice location 18
3575 W Cheyenne Ave Ste 105
North Las Vegas, NV 89032-8259
Phone (702) 876-9606
Other practice location 19
137 Trans Air Dr
Morrisville, NC 27560-7211
Phone (919) 296-8587
Other practice location 20
239 Commercial Dr
Buda, TX 78610-3525
Phone (866) 211-8267
Other practice location 21
3450 SE Miehe Dr Ste 1
Grimes, IA 50111-6662
Phone (515) 448-2020
Other practice location 22
68 E 3300 S
South Salt Lake, UT 84115-3710
Phone (801) 487-0111
Other practice location 23
4150 Interstate 30
Mesquite, TX 75150-2058
Phone (972) 270-7114
Other practice location 24
23855 W Andrew Rd
Plainfield, IL 60585-9588
Phone (815) 254-2000
Other practice location 25
1115 SW Oldham Pkwy
Lees Summit, MO 64081-2477
Phone (816) 600-5124
Other practice location 26
9207 N Milwaukee Ave
Niles, IL 60714-1301
Phone (847) 673-4300
Other practice location 27
299 Washington St Ste H
Woburn, MA 01801-2793
Phone (339) 220-3856
Other practice location 28
5751 General Washington Dr Ste D
Alexandria, VA 22312-2418
Phone (571) 765-3646
Other practice location 29
N8W22195 Johnson Dr Ste 130
Waukesha, WI 53186-1809
Phone (262) 574-0970
Other practice location 30
7450 Midlothian Tpke
North Chesterfield, VA 23225-5419
Phone (804) 220-0611
Other practice location 31
3418 Main St Ste 400
Bryant, AR 72022-6001
Phone (501) 500-9393
Other practice location 32
239 Commercial Dr
Buda, TX 78610-3525
Phone (512) 523-6484
Other practice location 33
7434 E 46th St
Tulsa, OK 74145-6302
Phone (918) 622-8400
Other practice location 34
1892 Central Ave Ste 25
Albany, NY 12205-4200
Phone (518) 346-9059
Other practice location 35
9740 SW Wilsonville Rd Ste 250
Wilsonville, OR 97070-7754
Phone (971) 224-5895
Other practice location 36
4199 Kinross Lakes Pkwy Ste 300
Richfield, OH 44286-9394
Phone (234) 312-2000
Other practice location 37
11755 Mosteller Rd
Sharonville, OH 45241-5505
Phone (513) 791-4000
Other practice location 38
200 E 1st St
Tea, SD 57064-2297
Phone (605) 498-2200
Other practice location 39
5040 Richmond Rd
Bedford, OH 44146-1329
Phone (440) 951-4335
Other practice location 40
214 Valley St
Dayton, OH 45404-1839
Phone (937) 222-5001
Other practice location 41
7233 Industrial Pkwy
Plain City, OH 43064-8728
Phone (614) 873-1580
Other practice location 42
211 Woodbridge Ave
Highland Park, NJ 08904-3701
Phone (732) 640-5342
Other practice location 43
16262 Ih 35 N
Selma, TX 78154-1212
Phone (210) 718-0055
Other practice location 44
1604 E 14 Mile Rd
Madison Heights, MI 48071-1505
Phone (248) 616-3004
Other practice location 45
1915 County Road C W
Roseville, MN 55113-1320
Phone (651) 364-7600
Other practice location 46
4012 Dearborn Pl NW
Concord, NC 28027-4624
Phone (866) 593-2048
Other practice location 47
155 E North Ave
Villa Park, IL 60181-1227
Phone (630) 782-1900
Other practice location 48
5105 New Jersey Route 33
Wall Township, NJ 07727-4003
Phone (732) 751-4524
Other practice location 49
1010 Contractors Way
Bear, DE 19701-5211
Phone (302) 613-7555
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295858736 | Medicaid | IA | |
| 250589236 | Medicaid | DE | |
| 300082172 | Medicaid | IN | |
| 3749376 | Medicaid | TX | |
| 47737414 | Medicaid | NE | |
| 3795882 | Medicaid | TX | |
| ERS19925001 | Medicaid | MO | |
| 103424092 | Medicaid | PA | |
| 3804114 | Medicaid | TX | |
| 7718871 | Medicaid | OH | |
| 1821257064 | Medicaid | TX | |
| 2084775 | Medicaid | OH | |
| 3801946 | Medicaid | TX | |
| S500565660 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations (25 of 38)
3418 Main St
Ste 400
Bryant, AR 72022
Phone (501) 500-9393
1640 S Abilene St
Aurora, CO 80012
Phone (702) 722-2680
1010 Contractors Way
Bear, DE 19701
Phone (302) 613-7555
9207 N Milwaukee Ave
Niles, IL 60714
Phone (847) 673-4300
23855 W Andrew Rd
Plainfield, IL 60585
Phone (815) 254-2000
155 E North Ave
Villa Park, IL 60181
Phone (630) 782-1900
1770 W 81st Ave
Merrillville, IN 46410
Phone (219) 796-0700
299 Washington St
Ste H
Woburn, MA 01801
Phone (339) 220-3856
1604 E 14 Mile Rd
Madison Heights, MI 48071
Phone (248) 616-3004
4025 Queen City Dr
Charlotte, NC 28208
Phone (704) 399-0900
4012 Dearborn Pl NW
Concord, NC 28027
Phone (866) 593-2048
137 Trans Air Dr
Morrisville, NC 27560
Phone (919) 296-8587
4044 S 60th St
Omaha, NE 68117
Phone (402) 313-3377
211 Woodbridge Ave
Highland Park, NJ 08904
Phone (732) 640-5342
5105 Route 33
Wall Township, NJ 07727
Phone (732) 751-4524
2100 S Decatur Blvd
Las Vegas, NV 89102
Phone (702) 876-9606
3575 W Cheyenne Ave
Ste 105
North Las Vegas, NV 89032
Phone (702) 876-9606
1892 Central Ave
Ste 25
Albany, NY 12205
Phone (518) 346-9059
3560 Sheridan Dr
Buffalo, NY 14226
Phone (716) 342-3530
80 E Jefryn Blvd
Deer Park, NY 11729
Phone (631) 254-4031
810 Moe Dr
Akron, OH 44310
Phone (330) 633-1118
5040 Richmond Rd
Bedford, OH 44146
Phone (440) 951-4335
7233 Industrial Pkwy
Plain City, OH 43064
Phone (614) 873-1580
9675 S Compass Dr
Rossford, OH 43460
Phone (419) 476-4890
11755 Mosteller Rd
Sharonville, OH 45241
Phone (513) 791-4000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1295858736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4199 KINROSS LAKES PKWY STE 300",
"address_2": "ATTN: COMPLIANCE",
"city": "RICHFIELD",
"state": "OH",
"postal_code": "442869394",
"telephone_number": "234-200-1382",
"fax_number": "330-659-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MOE DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443102517",
"telephone_number": "330-633-1118"
}
],
"practiceLocations": [
{
"address_1": "6473 De Zavala Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782492343",
"country_code": "US",
"telephone_number": "210-697-8884",
"fax_number": "210-697-8377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4025 Queen City Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282083509",
"country_code": "US",
"telephone_number": "704-399-0900",
"fax_number": "704-399-9009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3560 Sheridan Dr",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142261630",
"country_code": "US",
"telephone_number": "716-342-3530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Seco Rd",
"address_purpose": "LOCATION",
"city": "Monroeville",
"state": "PA",
"postal_code": "151461448",
"country_code": "US",
"telephone_number": "412-824-8091",
"fax_number": "412-824-1996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21704 87th Ave SE",
"address_purpose": "LOCATION",
"city": "Woodinville",
"state": "WA",
"postal_code": "980728017",
"country_code": "US",
"telephone_number": "425-481-6546",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6053 Tacoma Mall Blvd",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984096826",
"country_code": "US",
"telephone_number": "253-267-5280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1770 W 81st Ave",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464105349",
"country_code": "US",
"telephone_number": "219-796-0700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4044 S 60th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681171220",
"country_code": "US",
"telephone_number": "402-313-3377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3327 S Sam Houston Pkwy E",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770476548",
"country_code": "US",
"telephone_number": "346-226-6998",
"fax_number": "346-226-6997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1766 Hammond St",
"address_purpose": "LOCATION",
"city": "Hermon",
"state": "ME",
"postal_code": "044011119",
"country_code": "US",
"telephone_number": "207-848-8226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 E Jefryn Blvd",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117295755",
"country_code": "US",
"telephone_number": "631-254-4031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3115 Oak Knoll Dr",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547018485",
"country_code": "US",
"telephone_number": "715-495-1310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "844 Ontario Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543118018",
"country_code": "US",
"telephone_number": "920-491-8384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5460 Campbells Run Rd",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152051026",
"country_code": "US",
"telephone_number": "412-799-6929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2110 N Beach St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761116812",
"country_code": "US",
"telephone_number": "817-429-1273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1640 S Abilene St",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800125872",
"country_code": "US",
"telephone_number": "702-722-2680",
"fax_number": "702-269-4283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9675 S Compass Dr",
"address_purpose": "LOCATION",
"city": "Rossford",
"state": "OH",
"postal_code": "434601740",
"country_code": "US",
"telephone_number": "419-476-4890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3575 W Cheyenne Ave Ste 105",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890328259",
"country_code": "US",
"telephone_number": "702-876-9606",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "137 Trans Air Dr",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "NC",
"postal_code": "275607211",
"country_code": "US",
"telephone_number": "919-296-8587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "239 Commercial Dr",
"address_purpose": "LOCATION",
"city": "Buda",
"state": "TX",
"postal_code": "786103525",
"country_code": "US",
"telephone_number": "866-211-8267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3450 SE Miehe Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Grimes",
"state": "IA",
"postal_code": "501116662",
"country_code": "US",
"telephone_number": "515-448-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 E 3300 S",
"address_purpose": "LOCATION",
"city": "South Salt Lake",
"state": "UT",
"postal_code": "841153710",
"country_code": "US",
"telephone_number": "801-487-0111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Interstate 30",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751502058",
"country_code": "US",
"telephone_number": "972-270-7114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23855 W Andrew Rd",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IL",
"postal_code": "605859588",
"country_code": "US",
"telephone_number": "815-254-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115 SW Oldham Pkwy",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640812477",
"country_code": "US",
"telephone_number": "816-600-5124",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9207 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "IL",
"postal_code": "607141301",
"country_code": "US",
"telephone_number": "847-673-4300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "299 Washington St Ste H",
"address_purpose": "LOCATION",
"city": "Woburn",
"state": "MA",
"postal_code": "018012793",
"country_code": "US",
"telephone_number": "339-220-3856",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5751 General Washington Dr Ste D",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223122418",
"country_code": "US",
"telephone_number": "571-765-3646",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "N8W22195 Johnson Dr Ste 130",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531861809",
"country_code": "US",
"telephone_number": "262-574-0970",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7450 Midlothian Tpke",
"address_purpose": "LOCATION",
"city": "North Chesterfield",
"state": "VA",
"postal_code": "232255419",
"country_code": "US",
"telephone_number": "804-220-0611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3418 Main St Ste 400",
"address_purpose": "LOCATION",
"city": "Bryant",
"state": "AR",
"postal_code": "720226001",
"country_code": "US",
"telephone_number": "501-500-9393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "239 Commercial Dr",
"address_purpose": "LOCATION",
"city": "Buda",
"state": "TX",
"postal_code": "786103525",
"country_code": "US",
"telephone_number": "512-523-6484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7434 E 46th St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741456302",
"country_code": "US",
"telephone_number": "918-622-8400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1892 Central Ave Ste 25",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122054200",
"country_code": "US",
"telephone_number": "518-346-9059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9740 SW Wilsonville Rd Ste 250",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970707754",
"country_code": "US",
"telephone_number": "971-224-5895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4199 Kinross Lakes Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Richfield",
"state": "OH",
"postal_code": "442869394",
"country_code": "US",
"telephone_number": "234-312-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11755 Mosteller Rd",
"address_purpose": "LOCATION",
"city": "Sharonville",
"state": "OH",
"postal_code": "452415505",
"country_code": "US",
"telephone_number": "513-791-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 E 1st St",
"address_purpose": "LOCATION",
"city": "Tea",
"state": "SD",
"postal_code": "570642297",
"country_code": "US",
"telephone_number": "605-498-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5040 Richmond Rd",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "OH",
"postal_code": "441461329",
"country_code": "US",
"telephone_number": "440-951-4335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "214 Valley St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041839",
"country_code": "US",
"telephone_number": "937-222-5001",
"fax_number": "937-222-4001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7233 Industrial Pkwy",
"address_purpose": "LOCATION",
"city": "Plain City",
"state": "OH",
"postal_code": "430648728",
"country_code": "US",
"telephone_number": "614-873-1580",
"fax_number": "614-873-1589",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 Woodbridge Ave",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "NJ",
"postal_code": "089043701",
"country_code": "US",
"telephone_number": "732-640-5342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16262 Ih 35 N",
"address_purpose": "LOCATION",
"city": "Selma",
"state": "TX",
"postal_code": "781541212",
"country_code": "US",
"telephone_number": "210-718-0055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1604 E 14 Mile Rd",
"address_purpose": "LOCATION",
"city": "Madison Heights",
"state": "MI",
"postal_code": "480711505",
"country_code": "US",
"telephone_number": "248-616-3004",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1915 County Road C W",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551131320",
"country_code": "US",
"telephone_number": "651-364-7600",
"country_name": "United States",
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},
{
"address_1": "4012 Dearborn Pl NW",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280274624",
"country_code": "US",
"telephone_number": "866-593-2048",
"country_name": "United States",
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},
{
"address_1": "155 E North Ave",
"address_purpose": "LOCATION",
"city": "Villa Park",
"state": "IL",
"postal_code": "601811227",
"country_code": "US",
"telephone_number": "630-782-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5105 New Jersey Route 33",
"address_purpose": "LOCATION",
"city": "Wall Township",
"state": "NJ",
"postal_code": "077274003",
"country_code": "US",
"telephone_number": "732-751-4524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Contractors Way",
"address_purpose": "LOCATION",
"city": "Bear",
"state": "DE",
"postal_code": "197015211",
"country_code": "US",
"telephone_number": "302-613-7555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WMK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "MALOTT",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "COMPLIANCE MANAGER",
"authorized_official_telephone_number": "234-200-1382"
},
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{
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"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
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"license": null,
"primary": false
},
{
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"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor, Vehicle Modifications",
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"license": null,
"primary": true
},
{
"code": "332B00000X",
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"desc": "Durable Medical Equipment & Medical Supplies",
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{
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],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295858736",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250589236",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300082172",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3749376",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47737414",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3795882",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ERS19925001",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103424092",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3804114",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7718871",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821257064",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2084775",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3801946",
"state": "TX"
},
{
"code": "05",
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"identifier": "S500565660",
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}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.