EZ RYDER KREATIVE MOBILE LIFESTYLES INC (NPI# 1518933217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518933217 |
| Entity Type | Organization |
| Organization Name | EZ RYDER KREATIVE MOBILE LIFESTYLES INC |
| Practice Address |
10302 Fayetteville Rd Fayetteville NC 28304-9133 |
| Practice Telephone | 9109041700 |
| Practice Fax Number | 9109046800 |
| Mailing Telephone | 9109041700 |
| Mailing Fax Number | 9109046800 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JUANITA W BAREFOOT (PRESIDENT) |
| Authorized Official Telephone | 9109041700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
00349 | NC | Suppliers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 00349 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7702047 | 05 |
| Street Address |
10302 FAYETTEVILLE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-9133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700438587 | Evelyn Ray LLC | Durable Medical Equipment & Medical Supplies | 12570 Lakeside Pkwy, Fayetteville, GA 30215-4002 | 2019-07-12 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1528116530 | Summers and Koonce Inc | Durable Medical Equipment & Medical Supplies | 214 Owen Dr, Fayetteville, NC 28304-3414 | 2007-01-08 |
| 1306186747 | Asm LLC | Durable Medical Equipment & Medical Supplies | 2603 Main Dr Ste 3, Fayetteville, AR 72704-5281 | 2013-02-21 |
| 1376783431 | Chesapeake Rehab Equipment Inc. | Durable Medical Equipment & Medical Supplies | 1111 1/2 Bragg Blvd, Fayetteville, NC 28301-4513 | 2009-03-03 |
| 1235344813 | Children's Therapy Services, Inc | Durable Medical Equipment & Medical Supplies | 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703-4519 | 2007-05-14 |
| 1881687812 | Cumberland County Hospital System, Inc | Durable Medical Equipment & Medical Supplies | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102051 | Sassy Stylez | Durable Medical Equipment & Medical Supplies | 231 Graham Meadow Dr, Charlotte, NC 28213-4921 | 2020-10-20 |
| 1093327736 | Mcduffie & Associates, Inc | Durable Medical Equipment & Medical Supplies | 203 Church Hill Ct, New Bern, NC 28562-4870 | 2020-08-22 |
| 1003426388 | Bradley Cecil | Durable Medical Equipment & Medical Supplies | 50 E Main St Ste 100, Thomasville, NC 27360-4000 | 2020-08-03 |
| 1366067035 | Carolina Hair Loss & Prosthetics | Durable Medical Equipment & Medical Supplies | 1903 N Pine St, Lumberton, NC 28358-3969 | 2020-06-09 |
| 1275189540 | Et Care Inc | Durable Medical Equipment & Medical Supplies | 500 E Gannon Ave, Zebulon, NC 27597-2776 | 2019-08-13 |
| 1821656976 | Ashley S Desaix Dds Pa | Durable Medical Equipment & Medical Supplies | 3420 Ten Ten Rd Ste 310, Cary, NC 27518-6101 | 2019-06-04 |
| 1790349850 | Unique Boutique Inc | Durable Medical Equipment & Medical Supplies | 200 Medical Park Dr Ste 145, Concord, NC 28025-0928 | 2019-04-24 |
| 1447719810 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 8421 Old Statesville Rd Ste 18, Charlotte, NC 28269-1838 | 2019-03-15 |
| 1821569294 | Atlantic Coast Orthopedic Medical Supplies | Durable Medical Equipment & Medical Supplies | 6510 Northpark Blvd Ste A, Charlotte, NC 28216-2367 | 2018-12-11 |
| 1215444195 | Monica Lilly | Durable Medical Equipment & Medical Supplies | 123 N Main St Ste A, Norwood, NC 28128-9603 | 2018-01-02 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on EZ RYDER KREATIVE MOBILE LIFESTYLES INC.
| 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.