Mobility Center Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOBILITY CENTER INC.

Doing business as

AMIGO MOBILITY CENTER

Practice address

4280 Plainfiled Ave NE
Grand Rapids, MI 49525-1194

Phone

(616) 367-1559

Fax

(616) 361-7559

NPI assigned

Sep 24, 2009

Organization subpart

Yes

Parent organization

AMIGO MOBILITY INTERNATIONALAs reported in NPPES

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

Authorized official

Name

Mr. Jason Hurd

Title

Store Manager

Phone

(989) 777-2060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMIGO MOBILITY CENTER Doing business as

Part of

Mobility Center Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Morden

  • Hearing Instrument Specialist
  • Saginaw, MI
  • NPI 1154674182
  NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1578897559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 PLAINFILED AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251194",
            "telephone_number": "616-367-1559",
            "fax_number": "616-361-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 PLAINFILED AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251194",
            "telephone_number": "616-367-1559",
            "fax_number": "616-361-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMIGO MOBILITY INTERNATIONAL",
        "enumeration_date": "2009-09-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "HURD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "989-777-2060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873015070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMIGO MOBILITY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marcy Kay Mobley
• Christopher Robert Moblo, RPH
• Malina Moceri
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• Customized Equipment (DME) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Customized Equipment (DME) in Michigan

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