Stallones Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STALLONES MOBILITY LLC

Doing business as

101 Mobility

Practice address

943 W Overland Rd
Meridian, ID 83642-6541

Phone

(208) 906-3881

Fax

(208) 906-3887

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Arlen James Stallones

Title

Owner

Phone

(208) 906-3881

Specialties & licenses 1

Addresses

Other names 2

• 101 Mobility Doing business as
• Stallones Mobility LLC Former legal business name

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801387634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836800546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426541",
            "telephone_number": "208-906-3881",
            "fax_number": "208-906-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLONES MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "STALLONES",
        "authorized_official_first_name": "ARLEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-906-3881"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "101 Mobility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stallones Mobility LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Meridian, ID
• Providers in Meridian, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.