SENIOR MOBILITY INCORPORATED (NPI# 1053552042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053552042 |
| Entity Type | Organization |
| Organization Name | SENIOR MOBILITY INCORPORATED |
| Practice Address |
9695 Old Port Cv Bristol IN 46507-8788 |
| Practice Telephone | 5745844383 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | MR. MICHAEL STEPHEN HARBAUGH (PRESIDENT) |
| Authorized Official Telephone | 5745844383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 8912990608 | IN | Transportation Services |
| Street Address |
9695 OLD PORT CV |
| City | BRISTOL |
| State | IN |
| Zip Code | 46507-8788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275757643 | Adec - Village Men | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19816 State Road 120 #3, Bristol, IN 46507 | 2007-04-13 |
| 1295839462 | Hardings Markets-west Inc | Pharmacy | 300 East Elkhart St, Bristol, IN 46507 | 2006-09-11 |
| 1831166362 | Daniel J Berger | Family Medicine | 304 E Vistula St, Bristol, IN 46507 | 2006-03-03 |
| 1346765146 | Mackenzie Shireman | Registered Nurse | 304 E Vistula St, Bristol, IN 46507 | 2017-08-14 |
| 1801825179 | Brenda H. Spence | Psychologist | 201 S. Division St., Bristol, IN 46507-0275 | 2006-06-30 |
| 1023307014 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1114216108 | Adec Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19670 State Road 120, Bristol, IN 46507-0398 | 2011-03-31 |
| 1982879474 | Adec Inc | Community Based Residential Treatment Facility, Mental Illness | 19670 State Road 120, Bristol, IN 46507-0398 | 2008-04-25 |
| 1780756676 | David M Brilliandt | Dentist | 220 Bloomingdale, Bristol, IN 46507-8405 | 2006-11-15 |
| 1144517780 | Angel Dailey | Licensed Practical Nurse | 13350 Vistula Dr, Bristol, IN 46507-8511 | 2011-07-04 |
| Find all providers in zip 46507 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1841897378 | Spotlight Transportation | Non-emergency Medical Transport (VAN) | 2804 55th Pl Ste E, Indianapolis, IN 46220-3546 | 2020-10-07 |
| 1972117638 | Reliable Healthcare Professionals LLC | Non-emergency Medical Transport (VAN) | 450 E 96th St Ste 5024, Indianapolis, IN 46240-5703 | 2020-09-01 |
| 1124638796 | Markesha B Wilkins | Non-emergency Medical Transport (VAN) | 7829 Whitcomb St, Merrillville, IN 46410-4364 | 2020-08-07 |
| 1033729173 | Abundant Transport | Non-emergency Medical Transport (VAN) | 8437 Bell Oaks Dr # 502, Newburgh, IN 47630-2582 | 2020-08-04 |
| 1518581503 | Guardian Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5950 Old Porter Rd Apt 302, Portage, IN 46368-1555 | 2020-06-04 |
| 1881218469 | Tasha Marie Tyce | Non-emergency Medical Transport (VAN) | 1218 N Adams St, South Bend, IN 46628-3021 | 2020-05-30 |
| 1659994572 | Andrew Mwangi | Non-emergency Medical Transport (VAN) | 3619 Langley Dr, South Bend, IN 46614-1913 | 2020-05-27 |
| 1922620020 | Best Medical Transport Inc | Non-emergency Medical Transport (VAN) | 10424 Lochmere Ct, Fort Wayne, IN 46814-9560 | 2020-05-12 |
| 1972125078 | Mia Wallace | Non-emergency Medical Transport (VAN) | 9165 Otis Ave Ste 232, Indianapolis, IN 46216-2317 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.