Organization Active NPI

Happy Trails Electric Vehicle Service

  • Durable Medical Equipment & Medical Supplies
  • Maumee, OH
National Provider Identifier
1457539611
Registry record updated Feb 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HAPPY TRAILS ELECTRIC VEHICLE SERVICE
Practice address
817 Michigan Ave
Maumee, OH 43537-3503
Phone
(419) 891-0863
Fax
(419) 893-1404
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2008

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

Authorized official

Name
David Grube
Title
Owner
Phone
(419) 891-9863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

817 Michigan Ave
Maumee, OH 43537-3503

Mailing address

817 Michigan Ave
Maumee, OH 43537-3503
Phone (419) 891-0863

Other identifiers 1

IdentifierTypeStateIssuer
0976118MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202515200000",
    "number": "1457539611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MICHIGAN AVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373503",
            "telephone_number": "419-891-0863",
            "fax_number": "419-893-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MICHIGAN AVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435373503",
            "telephone_number": "419-891-0863",
            "fax_number": "419-893-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY TRAILS ELECTRIC VEHICLE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-02-09",
        "status": "A",
        "authorized_official_last_name": "GRUBE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-891-9863"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2008; 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.