Organization Active NPI

The Hupp Mobile, Inc

  • Non-emergency Medical Transport (VAN)
  • Massillon, OH
National Provider Identifier
1386043990
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
765435 Issued in OH
Legal business name
THE HUPP MOBILE, INC
Practice address
2875 Roanoke St NW
Massillon, OH 44646-2747
Phone
(330) 495-6369
Fax
(330) 481-4665
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Kevin Scott Hupp
Title
Owner
Phone
(330) 495-6369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 765435 OH Primary

Addresses

Primary practice location

2875 Roanoke St NW
Massillon, OH 44646-2747

Mailing address

2875 Roanoke St NW
Massillon, OH 44646-2747
Phone (330) 495-6369

Other identifiers 1

IdentifierTypeStateIssuer
0106162MedicaidOH

Other names 1

  • The Hupp Mobile, Llc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1386043990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 ROANOKE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462747",
            "telephone_number": "330-495-6369",
            "fax_number": "330-481-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 ROANOKE ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462747",
            "telephone_number": "330-495-6369",
            "fax_number": "330-481-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUPP MOBILE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HUPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-495-6369"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "765435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hupp Mobile, Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.