Active NPI
Keen Mobility Company
- Durable Medical Equipment & Medical Supplies
- Woburn, MA
National Provider Identifier
1619225943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.