Organization Active NPI

Grace Mobility, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Huntersville, NC
National Provider Identifier
1518066166
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
GRACE MOBILITY, INC.
Practice address
16405 Northcross Dr
Suite G1
Huntersville, NC 28078-5091
Phone
(704) 895-2661
NPI assigned
Sep 21, 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
Paul Eklund
Title
President
Phone
(704) 895-2661

Specialties & licenses 1

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

Addresses

Primary practice location

16405 Northcross Dr
Suite G1
Huntersville, NC 28078-5091

Mailing address

16405 Northcross Dr
Suite G1
Huntersville, NC 28078-5091

Other identifiers 2

IdentifierTypeStateIssuer
DE2361MedicaidSC
7703839MedicaidNC

National Provider Directory

National Provider Directory

Locations

16405 Northcross Dr
Ste G1
Huntersville, NC 28078
Phone (704) 895-2661

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518066166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 NORTHCROSS DR",
            "address_2": "SUITE G1",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 NORTHCROSS DR",
            "address_2": "SUITE G1",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785091",
            "telephone_number": "704-895-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKLUND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-895-2661"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2361",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703839",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

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.