Organization Active NPI

Ultimate Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • Perham, MN
National Provider Identifier
1811142185
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ULTIMATE MOBILITY LLC
Practice address
301 Coney St W
Perham, MN 56573-2110
Phone
(218) 346-7655
Fax
(218) 346-2691
NPI assigned
Nov 29, 2008
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Ms. Evelyn Mae King
Title
Owner
Phone
(218) 346-7655

Specialties & licenses 1

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

Addresses

Primary practice location

301 Coney St W
Perham, MN 56573-2110

Mailing address

PO Box 344
Perham, MN 56573-0344
Phone (218) 346-7655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1811142185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565730344",
            "telephone_number": "218-346-7655",
            "fax_number": "218-346-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CONEY ST W",
            "city": "PERHAM",
            "state": "MN",
            "postal_code": "565732110",
            "telephone_number": "218-346-7655",
            "fax_number": "218-346-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-29",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-346-7655",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perham, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.