Organization Active NPI

Divine Mobility & Comfort, Inc

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
National Provider Identifier
1487845996
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVINE MOBILITY & COMFORT, INC
Practice address
8574 W Lake Mead Blvd
Las Vegas, NV 89128-7630
Phone
(702) 360-3787
Fax
(702) 433-3787
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Miss Annie Faye Middleton
Title
Owner
Phone
(702) 360-3787

Specialties & licenses 1

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

Addresses

Primary practice location

8574 W Lake Mead Blvd
Las Vegas, NV 89128-7630

Mailing address

8574 W Lake Mead Blvd
Las Vegas, NV 89128-7630
Phone (702) 360-3787

National Provider Directory

National Provider Directory

Locations

8574 W Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 360-3787

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1487845996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8574 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287630",
            "telephone_number": "702-360-3787",
            "fax_number": "702-433-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8574 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287630",
            "telephone_number": "702-360-3787",
            "fax_number": "702-433-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MOBILITY & COMFORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-360-3787",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.