Organization Active NPI

Momma & Poppa Mobility Home Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Pawley's Island, SC
National Provider Identifier
1356674485
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6-09-2645 Issued in SC
Legal business name
MOMMA & POPPA MOBILITY HOME MEDICAL LLC
Practice address
10080 Ocean Hwy
Suite 6
Pawleys Island, SC 29585-5898
Phone
(843) 833-3473
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Theresa G SteeleNPI 1427288869
Title
Owner
Phone
(843) 833-3473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6-09-2645 SC Primary

Addresses

Primary practice location

10080 Ocean Hwy
Suite 6
Pawleys Island, SC 29585-5898

Mailing address

719 Shearwater CT
Unit 202
Murrells Inlet, SC 29576-8686
Phone (843) 833-3473

National Provider Directory

National Provider Directory

Locations

10080 Ocean Hwy
Unit 6
Pawleys Island, SC 29585
Phone (843) 833-3473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1356674485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SHEARWATER CT",
            "address_2": "UNIT 202",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768686",
            "telephone_number": "843-833-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 OCEAN HWY",
            "address_2": "SUITE 6",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855898",
            "telephone_number": "843-833-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMA & POPPA MOBILITY HOME MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-833-3473"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "6-09-2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.