Organization Active NPI

Marys Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Little Rock, AR
National Provider Identifier
1780496596
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARYS MOBILITY LLC
Practice address
3317 Broadway St
Little Rock, AR 72206-3156
Phone
(501) 283-8210
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Marijas Holmes
Title
President
Phone
(501) 283-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3317 Broadway St
Little Rock, AR 72206-3156

Mailing address

3317 Broadway St
Little Rock, AR 72206-3156
Phone (501) 283-8210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1780496596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722063156",
            "telephone_number": "501-283-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 BROADWAY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722063156",
            "telephone_number": "501-283-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYS MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARIJAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-283-8210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.