Organization Active NPI

JC Mobility Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Raymond, ME
National Provider Identifier
1528060332
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JC MOBILITY SOLUTIONS LLC
Practice address
51B Main St
Raymond, ME 04071-6520
Phone
(207) 655-2000
Fax
(207) 655-2032
NPI assigned
Aug 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Ms. Judith Elaine Conley
Title
Partner
Phone
(207) 655-2000

Specialties & licenses 1

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

Addresses

Primary practice location

51B Main St
Raymond, ME 04071-6520

Mailing address

51B Main St
Raymond, ME 04071-6520
Phone (207) 655-2000

Other identifiers 2

IdentifierTypeStateIssuer
30763602MedicaidNH
431827000MedicaidME

National Provider Directory

National Provider Directory

Locations

51B Main St
Raymond, ME 04071
Phone (207) 655-2000

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1528060332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51B MAIN ST",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716520",
            "telephone_number": "207-655-2000",
            "fax_number": "207-655-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51B MAIN ST",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716520",
            "telephone_number": "207-655-2000",
            "fax_number": "207-655-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MOBILITY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "207-655-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30763602",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431827000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.