Advanced Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVANCED MOBILITY LLC

Practice address

449 N Water St
Black River Falls, WI 54615-1016

Phone

(715) 456-3557

NPI assigned

Nov 16, 2022

Last updated

Nov 16, 2022By 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

Jeremy S AngerNPI 1417666793

Title

Owner

Phone

(715) 456-3557

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy S Anger

  • Home Modifications Contractor
  • Black River Falls, WI
  • NPI 1417666793
  NPD Authorized official

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1679282966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546150044",
            "telephone_number": "715-456-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 N WATER ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151016",
            "telephone_number": "715-456-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "ANGER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-456-3557"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1311 Tyler Street Operating Company, LLC (Atrium Post Acute Care of Black River Falls)
• Bhavani S Achunala, DDS
• Kenneth Paul Adler, M.D.
• Advanced Chiropractic and Laser Centers, Inc (Advanced Chiropractic)
• Advanced Chiropractic Clinics Inc (Advanced Chiropractic)
• Autumn L Alekna, APSW, MSW
• Rebecca L Amberg, LM RN
• Kevin M Anderson, M.D.
• Rebecca H Anderson, MSPT
• Jeremy S Anger

• Durable Medical Equipment & Medical Supplies in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.