Active NPI
Leslie Mobility Inc
- Durable Medical Equipment & Medical Supplies
- Frankenmuth, MI
National Provider Identifier
1740305838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LESLIE MOBILITY INC
- Practice address
- 126 S Main St
Frankenmuth, MI 48734-1612 - Phone
- (989) 652-6693
- Fax
- (989) 652-6587
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Millard F Leslie
- Title
- Pres
- Phone
- (989) 652-6693
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
126 S Main St
Frankenmuth, MI 48734-1612
Mailing address
126 S Main St
Frankenmuth, MI 48734-1612
Phone (989) 652-6693
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540G30287 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 0267230001 | Other | MI | DMERC REGION B |
| 3135711 | Medicaid | MI |
Other names 1
- McConnell, I / Custom Mobility
National Provider Directory
National Provider DirectoryLocations
126 S Main St
Frankenmuth, MI 48734
Phone (989) 652-6693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219881600000",
"number": "1740305838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S MAIN ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341612",
"telephone_number": "989-652-6693",
"fax_number": "989-652-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S MAIN ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341612",
"telephone_number": "989-652-6693",
"fax_number": "989-652-6587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE MOBILITY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2008-08-28",
"status": "A",
"authorized_official_last_name": "LESLIE",
"authorized_official_first_name": "MILLARD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "989-652-6693"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "540G30287",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC REGION B",
"identifier": "0267230001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3135711",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McConnell, I / Custom Mobility",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Frankenmuth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.