Upstate Carolina Mobility

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

039183613 Issued in SC

Legal business name

UPSTATE CAROLINA MOBILITY

Doing business as

101 Mobility

Practice address

105 La Von LN
Suite C
Easley, SC 29642-2627

Phone

(864) 269-6985

Fax

(864) 751-1619

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Janice Gordon

Title

Franchise Owner

Phone

(864) 269-6985

Specialties & licenses 2

Addresses

Other names 1

• 101 Mobility Doing business as

Locations

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1528331931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LA VON LN",
            "address_2": "SUITE C",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422627",
            "telephone_number": "864-269-6985",
            "fax_number": "864-751-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LA VON LN",
            "address_2": "SUITE C",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296422627",
            "telephone_number": "864-269-6985",
            "fax_number": "864-751-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CAROLINA MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "FRANCHISE OWNER",
        "authorized_official_telephone_number": "864-269-6985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "039183613",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "175832350",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista Simmons Turpin, RN
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• Durable Medical Equipment & Medical Supplies in Easley, SC
• Providers in Easley, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.