Organization Active NPI

Mobility Plus Specialist

  • Customized Equipment (DME)
  • Detroit, MI
National Provider Identifier
1619196078
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MOBILITY PLUS SPECIALIST
Practice address
20114 Livernois Ave
Detroit, MI 48221-1346
Phone
(313) 218-1224
NPI assigned
Apr 24, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Christine M Morgan
Title
Owner
Phone
(313) 218-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MI Primary

Addresses

Primary practice location

20114 Livernois Ave
Detroit, MI 48221-1346

Mailing address

20114 Livernois Ave
Detroit, MI 48221-1346
Phone (313) 218-1224

Other identifiers 1

IdentifierTypeStateIssuer
5914570MedicaidMI

National Provider Directory

National Provider Directory

Locations

20114 Livernois Ave
Detroit, MI 48221
Phone (313) 218-1224

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1619196078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20114 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-218-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20114 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211346",
            "telephone_number": "313-218-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY PLUS SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-218-1224"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.