Carolina Mobility & Seating, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0206009258 Issued in VA

Legal business name

CAROLINA MOBILITY & SEATING, INC.

Practice address

644 Independence Pkwy Ste 400
Chesapeake, VA 23320-5212

Phone

(757) 966-7964

NPI assigned

Dec 15, 2008

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melick B Elliott

Title

President Owner

Phone

(919) 303-0902

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1669617916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 INDEPENDENCE PKWY STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205212",
            "telephone_number": "757-966-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 INDEPENDENCE PKWY STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205212",
            "telephone_number": "757-966-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MOBILITY & SEATING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MELICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "919-303-0902"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "0206009258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "183834",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "10001676",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10080924",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aundrena Antionetta Carpenter, LMT
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• Patrick Reyes Carpo, MD

• Customized Equipment (DME) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.