Organization Active NPI

Tri-State Mobility, LLC

  • Home Modifications Contractor
  • Ashland, KY
National Provider Identifier
1467834267
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Legal business name
TRI-STATE MOBILITY, LLC
Doing business as
Tri - State Mobility
Practice address
712 Winchester Ave
Ashland, KY 41101-7443
Phone
(606) 329-1344
Fax
(606) 329-0207
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Steven Lyon
Title
Owner, Sole Member
Phone
(606) 329-1344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171WH0202X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

712 Winchester Ave
Ashland, KY 41101-7443

Mailing address

712 Winchester Ave
Ashland, KY 41101-7443
Phone (606) 329-1344

Other names 1

  • Tri - State Mobility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Steven L Lyon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

712 Winchester Ave
Ashland, KY 41101
Phone (606) 329-1344

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1467834267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017443",
            "telephone_number": "606-329-1344",
            "fax_number": "606-329-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WINCHESTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017443",
            "telephone_number": "606-329-1344",
            "fax_number": "606-329-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER, SOLE MEMBER",
        "authorized_official_telephone_number": "606-329-1344"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri - State Mobility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tri - State Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.