Apple Independence Mobility LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Lebanon, TN

NPI 1801030663 · NPPES record last updated Feb 14, 2012

Key facts

NPI
1801030663
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
489 (TN)
Legal business name
APPLE INDEPENDENCE MOBILITY LLC
Practice address
1152 Pine St
Lebanon, TN 37087-3769
Phone
(931) 528-5788
Fax
(931) 528-5789
NPI assigned
Apr 23, 2009
Organization subpart
Yes
Parent organization (as reported)
APPLE INDEPENDENCE MOBILITY LLC

Authorized official

Name
Mr. Jeffrey T Apple, ATP
Title
Managing Member/Owner
Phone
(931) 528-5788

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Apple Independence Mobility LLC

Locations

1750 Lee Seminary Rd
Cookeville, TN 38506
Phone (931) 528-5788

1152 Pine St
Lebanon, TN 37087
Phone (931) 528-5788

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 489 TN Yes

Addresses

Primary practice location

1152 Pine St
Lebanon, TN 37087-3769

Mailing address

306 N Willow Ave
Cookeville, TN 38501-5549
Phone (931) 528-5788

Other identifiers

IdentifierTypeStateIssuer
1455151MedicaidTN
4143488OtherTNBLUE CROSS BLUE SHIELD
01056184OtherTNAMERIGROUP

Other providers in Lebanon, TN

All providers in Lebanon, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.