Provider Demographics
NPI:1457022576
Name:MOTIVE MOBILITY
Entity Type:Organization
Organization Name:MOTIVE MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:JAMES MONTANA
Authorized Official - Last Name:MAXIM
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:330-240-0302
Mailing Address - Street 1:4444 KEYSTONE DR UNIT F-1
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-8796
Mailing Address - Country:US
Mailing Address - Phone:330-240-0302
Mailing Address - Fax:
Practice Address - Street 1:4444 KEYSTONE DR UNIT F-1
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-8796
Practice Address - Country:US
Practice Address - Phone:330-240-0302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies