Organization Active NPI

Leslie Mobility Inc

  • Durable Medical Equipment & Medical Supplies
  • Frankenmuth, MI
National Provider Identifier
1740305838
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 28, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
540G30287OtherMIBLUE CROSS BLUE SHIELD MI
0267230001OtherMIDMERC REGION B
3135711MedicaidMI

Other names 1

  • McConnell, I / Custom Mobility Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.