Organization Active NPI

Shore Mobility Inc.

Doing business as 101 Mobility

  • Durable Medical Equipment & Medical Supplies
  • Stevensville, MD
National Provider Identifier
1710403209
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHORE MOBILITY INC.
Doing business as
101 Mobility
Practice address
58 Log Canoe Cir
Stevensville, MD 21666-2136
Phone
(443) 453-5737
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Russell Lee Marks
Title
Ceo/President
Phone
(443) 453-5737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

58 Log Canoe Cir
Stevensville, MD 21666-2136

Mailing address

58 Log Canoe Cir
Stevensville, MD 21666-2136
Phone (443) 453-5737

Other names 1

  • 101 Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

58 Log Canoe Cir
Stevensville, MD 21666
Phone (443) 453-5737

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710403209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662136",
            "telephone_number": "443-453-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662136",
            "telephone_number": "443-453-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE MOBILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "443-453-5737"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevensville, MD

Sources for this page

  • 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.