Active NPI
Mobility Repair Company of Bedford
- Home Modifications Contractor
- Bedford, MA
National Provider Identifier
1497420145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Legal business name
- MOBILITY REPAIR COMPANY OF BEDFORD
- Practice address
- 2301 Taylor Pond LN
Bedford, MA 01730-4406 - Phone
- (617) 910-0075
- NPI assigned
- Aug 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucner Jr Michel
- Title
- President
- Phone
- (857) 277-4484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
2301 Taylor Pond LN
Bedford, MA 01730-4406
Mailing address
2301 Taylor Pond LN
Bedford, MA 01730-4406
Phone (617) 910-0075
Other names 1
- Mr Cob
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628899200000",
"number": "1497420145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 TAYLOR POND LN",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017304406",
"telephone_number": "617-910-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 TAYLOR POND LN",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017304406",
"telephone_number": "617-910-0075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY REPAIR COMPANY OF BEDFORD",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-14",
"last_updated": "2021-08-14",
"certification_date": "2021-08-14",
"status": "A",
"authorized_official_last_name": "MICHEL",
"authorized_official_first_name": "LUCNER",
"authorized_official_middle_name": "JR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "857-277-4484"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mr Cob",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.