NPIMap

Organization Active NPI

The Mobile Car Wash Corp

Doing business as The Mobile Car Wash

  • Home Health Aide
  • Portland, TN
National Provider Identifier
1720641699
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
THE MOBILE CAR WASH CORP
Doing business as
The Mobile Car Wash
Practice address
1905 Highway 259
Portland, TN 37148-4431
Phone
(615) 491-7561
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Mr. Kendall Campbell
Title
Manager
Phone
(615) 491-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1905 Highway 259
Portland, TN 37148-4431

Mailing address

PO Box 156
Madison, TN 37116-0156
Phone (615) 491-7561

Other names 1

  • The Mobile Car Wash Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1720641699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371160156",
            "telephone_number": "615-491-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HIGHWAY 259",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371484431",
            "telephone_number": "615-491-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILE CAR WASH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-491-7561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mobile Car Wash",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.