Organization Active NPI

Mobility Repair Company of Bedford

  • Home Modifications Contractor
  • Bedford, MA
National Provider Identifier
1497420145
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
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

Updated by the provider on Aug 14, 2021

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)CodeLicenseStatePrimary
Home Modifications ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.