Mobile Home Specialist

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

MOBILHS088MP Issued in WA

Legal business name

MOBILE HOME SPECIALIST

Practice address

322 Horseshoe Bend Rd
Goldendale, WA 98620-3604

Phone

(509) 966-8495

Fax

(509) 248-0648

NPI assigned

Mar 30, 2014

Last updated

Mar 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lewis M Nolen

Title

Owner

Phone

(509) 966-8495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396137600000",
    "number": "1356769103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9391",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090391",
            "telephone_number": "509-966-8495",
            "fax_number": "509-248-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 HORSESHOE BEND RD",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986203604",
            "telephone_number": "509-966-8495",
            "fax_number": "509-248-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HOME SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-30",
        "last_updated": "2014-03-30",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-966-8495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "WA",
            "license": "MOBILHS088MP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Masudian, DDS, MPH
• Mellissa Tang McBean, NA-C
• Chelsey McIntyre, PHARMD
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• Dorothy Miller
• Michelle Christine Morgan
• Mona Morgan
• Ashley Lynn Murphy, LMT
• John Nebeker
• Yvonne Ngugi, PHARMD

• Home Modifications Contractor in Goldendale, WA
• Providers in Goldendale, WA by specialty
• Home Modifications Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; 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.