Organization Active NPI

Mobile Med Techs LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1891340139
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOBILE MED TECHS LLC
Practice address
1821 N 77TH St
Philadelphia, PA 19151-2004
Phone
(267) 997-4689
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Aisha K Glenn
Title
Ceo
Phone
(267) 997-4689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1821 N 77TH St
Philadelphia, PA 19151-2004

Mailing address

1821 N 77TH St
Philadelphia, PA 19151-2004
Phone (267) 997-4689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1891340139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N 77TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512004",
            "telephone_number": "267-997-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N 77TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191512004",
            "telephone_number": "267-997-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MED TECHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-997-4689"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.