Organization Active NPI

Mobility Central, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Vestavia Hills, AL
National Provider Identifier
1316982143
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
05017284 Issued in AL
Legal business name
MOBILITY CENTRAL, INC.
Practice address
400 Olde Towne Rd
Vestavia Hills, AL 35216-3732
Phone
(205) 916-0670
Fax
(205) 940-2299
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Authorized official

Name
Mr. Ben Mark Peters
Title
President/Owner
Phone
(205) 916-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 05017284 AL Primary

Addresses

Primary practice location

400 Olde Towne Rd
Vestavia Hills, AL 35216-3732

Mailing address

400 Olde Towne Rd
Vestavia, AL 35216-3732
Phone (205) 916-0670

Other identifiers 2

IdentifierTypeStateIssuer
009969285MedicaidAL
51521309OtherALBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930003896 AL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 6002024973 Practice locations: Vestavia, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mobility Central Inc400 Olde Towne Rd, Vestavia, AL 35216-37322059160670208 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power… Does not accept assignmentParticipating since Mar 1, 2004

National Provider Directory

National Provider Directory

Locations

400 Olde Towne Rd
Vestavia Hills, AL 35216
Phone (205) 916-0670

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1316982143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OLDE TOWNE RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163732",
            "telephone_number": "205-916-0670",
            "fax_number": "205-940-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OLDE TOWNE RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163732",
            "telephone_number": "205-916-0670",
            "fax_number": "205-940-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-916-0670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": "05017284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009969285",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51521309",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.