Madrag LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

MADRAG LLC

Doing business as

101 Mobility

Practice address

200 Bethlehem Dr BLDG C-145
Morgantown, PA 19543-9771

Phone

(610) 913-0060

Fax

(610) 913-0065

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michel Bill Ragland

Title

Owner

Phone

(484) 437-4097

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• 101 Mobility Doing business as

Tax ID family

101 Mobility2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madrag LLC

  • Customized Equipment (DME)
  • Morgantown, PA
  • NPI 1508474768
  NPD tax ID

Locations

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689199226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BETHLEHEM DR BLDG C-145",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195439771",
            "telephone_number": "610-913-0060",
            "fax_number": "610-913-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BETHLEHEM DR BLDG C-145",
            "city": "MORGANTOWN",
            "state": "PA",
            "postal_code": "195439771",
            "telephone_number": "610-913-0060",
            "fax_number": "610-913-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRAG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "RAGLAND",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_middle_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-437-4097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007663",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033408400002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yooson E Kim, D.M.D
• Anna Halina Klimachefsky, LCSW
• Patricia Denunzio Kreider, PSYD
• John M Macdonnell, PH.D.
• Madrag LLC
• Kaitlin Dawn McGinnis, ATC
• Morgantown Chiropractic & Diagnostic Center
• Morgantown ENT and Neurology-Suncrest (University Health Associates)
• Hannah Kathleen Norton
• Miriam E. Pearson, O.D.

• Home Modifications Contractor in Morgantown, PA
• Providers in Morgantown, PA by specialty
• Home Modifications Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.