NPIMap

Organization Active NPI

Superior Van & Mobility

  • Vehicle Modifications Contractor
  • Fort Wayne, IN
National Provider Identifier
1720166853
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
License
205552 Issued in IN
Legal business name
SUPERIOR VAN & MOBILITY
Practice address
2218 Contractors Way
Fort Wayne, IN 46818-1721
Phone
(260) 497-8267
Fax
(260) 490-4484
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Mr. Sam Cook
Title
Owner
Phone
(800) 458-8267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WV0202X 205552 IN Primary

Addresses

Primary practice location

2218 Contractors Way
Fort Wayne, IN 46818-1721

Mailing address

1506 Lake Shore CT
Louisville, KY 40223-3803
Phone (800) 458-8267

Other practice location 1

3813 Winston Ave
Covington, KY 41015-1460
Phone (859) 918-7670

National Provider Directory

National Provider Directory
Tax ID family
Superior Van Mobility4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6011 Highview Dr
Ste A
Fort Wayne, IN 46818

2218 Contractors Way
Fort Wayne, IN 46818
Phone (260) 497-8267

3813 Winston Ave
Covington, KY 41015
Phone (859) 918-7670

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1720166853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 LAKE SHORE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233803",
            "telephone_number": "800-458-8267",
            "fax_number": "502-447-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 CONTRACTORS WAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468181721",
            "telephone_number": "260-497-8267",
            "fax_number": "260-490-4484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3813 Winston Ave",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410151460",
            "country_code": "US",
            "telephone_number": "859-918-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPERIOR VAN & MOBILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-458-8267",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": "IN",
            "license": "205552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.