Clca Mobility Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CLCA MOBILITY SERVICES LLC

Practice address

29 Boone TRL
North Wilkesboro, NC 28659-3512

Phone

(336) 903-1700

Fax

(336) 903-1701

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Christopher Alan Skinner

Title

Owner

Phone

(704) 881-2825

Specialties & licenses 1

Addresses

Other names 1

• Carolina Mobility Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hayden Church

  • Non-emergency Medical Transport (VAN)
  • North Wilkesboro, NC
  • NPI 1376997999
  NPD (past)

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1750113619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593512",
            "telephone_number": "336-903-1700",
            "fax_number": "336-903-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593512",
            "telephone_number": "336-903-1700",
            "fax_number": "336-903-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLCA MOBILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-881-2825"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Mobility Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher E. Roberts, DDS, PA
• Angie M Church, LCMHC
• Hayden Church
• Zbigniew Cichon, M.D.
• David Grant Clayton, FNP
• Nancy Michelle Cleary
• Cassandra Grace Clifford
• Matthew Cline, MD
• Harry Milton Cockerham Jr.
• William Carl Coggin, PTA

• Non-emergency Medical Transport (VAN) in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.