Jolen LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JOLEN LLC

Doing business as

Upstate Medical & Mobility

Practice address

2114 Chesnee Hwy
Suite C
Spartanburg, SC 29303-2521

Phone

(864) 582-8998

Fax

(864) 582-8993

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jo Ann Hodges

Title

Owner

Phone

(864) 582-8998

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Upstate Medical & Mobility Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1730117177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1371",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293041371",
            "telephone_number": "864-582-8998",
            "fax_number": "864-582-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 CHESNEE HWY",
            "address_2": "SUITE C",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032521",
            "telephone_number": "864-582-8998",
            "fax_number": "864-582-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-582-8998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE18S5",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Medical & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinsley Adair Johnson, DMD
• Kristin D Johnson
• Latoya Denise Johnson
• Laurel D Johnson, CRNA
• Trevor Johnson
• Jenny L Jolley, FNP
• Haley Jolly, RN
• Ronald L Jolly Jr., PTA
• Brandy Jones-Mack
• Michelle Jones-Moon, DO

• Durable Medical Equipment & Medical Supplies in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.