Aging in My Place Mobility Services LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AGING IN MY PLACE MOBILITY SERVICES LLC

Practice address

3819 Clintonville Road
Waterford, MI 48329-2418

Phone

(248) 496-6159

Fax

(248) 934-0741

NPI assigned

May 7, 2020

Organization subpart

No

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

Authorized official

Name

Lise Wallace

Title

Member

Phone

(248) 496-6159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1699397158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 DIXIE HIGHWAY",
            "address_2": "SUITE 300253",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48330",
            "telephone_number": "248-496-6159",
            "fax_number": "248-934-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 CLINTONVILLE ROAD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483292418",
            "telephone_number": "248-496-6159",
            "fax_number": "248-934-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING IN MY PLACE MOBILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-496-6159"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Waterford, MI
• Providers in Waterford, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.