Organization Active NPI

Keen Mobility Company

  • Durable Medical Equipment & Medical Supplies
  • Woburn, MA
National Provider Identifier
1619225943
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEEN MOBILITY COMPANY
Practice address
271 Salem St
Unit C&D
Woburn, MA 01801-2004
Phone
(781) 281-2733
Fax
(888) 440-5111
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Mr. Vail B Horton
Title
President/Ceo
Phone
(503) 847-2020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

271 Salem St
Unit C&D
Woburn, MA 01801-2004

Mailing address

6500 NE Halsey BLDG B
Portland, OR 97213-5092
Phone (503) 847-2020

Other names 1

  • Keen Home Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6500 NE Halsey St
Ste B
Portland, OR 97213
Phone (503) 285-9090

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1619225943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NE HALSEY BLDG B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135092",
            "telephone_number": "503-847-2020",
            "fax_number": "888-624-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SALEM ST",
            "address_2": "UNIT C&D",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012004",
            "telephone_number": "781-281-2733",
            "fax_number": "888-440-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN MOBILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "VAIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "503-847-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keen Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.