Organization Active NPI

Mobility Plus LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
National Provider Identifier
1487632394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MOBILITY PLUS LLC
Practice address
8320 Rivers Ave
Ste C
North Charleston, SC 29406-9269
Phone
(843) 572-2225
NPI assigned
Jan 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara Jackson
Title
President
Phone
(843) 572-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

8320 Rivers Ave
Ste C
North Charleston, SC 29406-9269

Mailing address

8320 Rivers Ave
Ste C
North Charleston, SC 29406-9269

Other identifiers 1

IdentifierTypeStateIssuer
DE2614MedicaidSC

National Provider Directory

National Provider Directory

Locations

8320 Rivers Ave
Ste C
North Charleston, SC 29406
Phone (843) 572-2225

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487632394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 RIVERS AVE",
            "address_2": "STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 RIVERS AVE",
            "address_2": "STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069269",
            "telephone_number": "843-572-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-572-2225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2614",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.