Mobility Repair Specialists Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOBILITY REPAIR SPECIALISTS INC

Doing business as

Nova DME

Practice address

570 Central Ave Ste J2
Lake Elsinore, CA 92530-2741

Phone

(951) 498-3553

Fax

(951) 498-3577

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Dennis William Karnes

Title

Ceo

Phone

(951) 552-0642

Specialties & licenses 1

Addresses

Other names 1

• Nova DME Doing business as

Locations

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1558017749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CENTRAL AVE STE J2",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302741",
            "telephone_number": "951-498-3553",
            "fax_number": "951-498-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CENTRAL AVE STE J2",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302741",
            "telephone_number": "951-498-3553",
            "fax_number": "951-498-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY REPAIR SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-552-0642"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Conley Mills
• Lori A Minor-Honore, MFTI
• Antoni A Miranda, CHW
• Crystal Brianne Miranda
• Dominique Renee Misher
• Rachel Nicole Mobley
• Teresa Mojarro Ortega, MSW, ACSW
• Stephanie Alicia Montero, ASW
• Richard Moody
• Christina M Moore-Peters, M.ED

• Durable Medical Equipment & Medical Supplies in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.