Amigo Mobility Center Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

0038278 Issued in TX

Legal business name

AMIGO MOBILITY CENTER INC.

Practice address

2100 N. Highway 360
Ste. 1802
Grand Prairie, TX 75050

Phone

(972) 647-8567

Fax

(972) 660-4548

NPI assigned

Jun 4, 2006

Last updated

Nov 4, 2011By 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

Mrs. Chenna N. Strange

Title

Office Manager

Phone

(972) 647-8567

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Gary Rodgers, ATP

  • Other Technician
  • Grand Prairie, TX
  • NPI 1639460462
  NPD (past)
• Shane Sullaway

  • Other Technician
  • Grand Prairie, TX
  • NPI 1366738320
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1720026198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N. HIGHWAY 360",
            "address_2": "STE. 1802",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-647-8567",
            "fax_number": "972-660-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N. HIGHWAY 360",
            "address_2": "STE. 1802",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75050",
            "telephone_number": "972-647-8567",
            "fax_number": "972-660-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIGO MOBILITY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "CHENNA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-647-8567",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0038278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015841201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158412-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amerismiles Dental of Grand Praire PLLC (AmeriSmiles Dental)
• Ameze Home Health Services Inc
• Amiable Care of HCS
• Ams Kwarteng Services LLC
• Anchorage Medical Equipment & Supplies LLC
• Andrea Jane Anderson
• Annette Karin Anderson, MS, RD, LD, LMT
• Donesha Alissa Anderson

• Customized Equipment (DME) in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.