Mobile Convenience

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

LDO002235 Issued in GA

Legal business name

MOBILE CONVENIENCE

Practice address

1352 Woodland View Rd
Lawrenceville, GA 30043-7512

Phone

(770) 682-3777

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Ashuti Reynolds, L.D.O.

Title

Proprietor

Phone

(770) 682-3777

Specialties & licenses 1

Addresses

Other names 1

• YourSightOnSite Doing business as

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1457742652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 WOODLAND VIEW RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 WOODLAND VIEW RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437512",
            "telephone_number": "770-682-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CONVENIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ASHUTI",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "770-682-3777",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "LDO002235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YourSightOnSite",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MMC Home Care, LLC
• Brittany Marie Moates, OD
• Bobak Moazzami, MD
• Mary Cardina Mobbs, FNP-BC
• Mobile Care Physicians Group PC
• Mobile Mini Clinic
• Joy Standridge Mock, LPC
• Modern Therapy
• Haresh Modha, D.D.S.
• Andrea Peyton Moe, PA

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.