Active Mobility, Llc

LBN: Active Mobility, Llc
Active Mobility, Llc is an health care organization with primary practice located at 18 Leinbach Dr Unit E, Charleston SC 29407-7916. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Active Mobility, Llc can be contacted via phone (843) 377-0847, or through Hooper, Clarence R via phone (843) 577-9577.

Contact Information

Primary practice address
18 Leinbach Dr Unit E Charleston SC 29407-7916
Phone: (843) 377-0847
Fax: (843) 377-0845
Website:
Map and Directions
Authorized official contact:
Name: Hooper, Clarence R CPO
Phone: (843) 577-9577

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 010714845 South Carolina

Profile Details

NPI number 1811968720
LBN Legal business name Active Mobility, Llc
DBA Doing business as
Authorized official Hooper, Clarence R CPO
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811968720 NPPES
South Carolina MEDICAID DE2440

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