Provider Demographics
NPI:1326039090
Name:KIRSIE ENTERPRISES INC
Entity Type:Organization
Organization Name:KIRSIE ENTERPRISES INC
Other - Org Name:MOBILITY UNLIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHNACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-597-8805
Mailing Address - Street 1:881 103RD AVE N
Mailing Address - Street 2:SUITE #5
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-3200
Mailing Address - Country:US
Mailing Address - Phone:239-597-8805
Mailing Address - Fax:239-597-6558
Practice Address - Street 1:881 103RD AVE N
Practice Address - Street 2:SUITE #5
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-3200
Practice Address - Country:US
Practice Address - Phone:239-597-8805
Practice Address - Fax:239-597-6558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAHCA 1156332B00000X
FL1156332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951932700Medicaid
FL684490100Medicaid
FL951932700Medicaid
1125190001Medicare NSC