Provider Demographics
NPI:1558502658
Name:ACCESSIBLE MOBILITY, LLC
Entity Type:Organization
Organization Name:ACCESSIBLE MOBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANAVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-869-4038
Mailing Address - Street 1:111 W PUTNAM AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-5329
Mailing Address - Country:US
Mailing Address - Phone:203-869-4038
Mailing Address - Fax:203-869-3525
Practice Address - Street 1:111 W PUTNAM AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5329
Practice Address - Country:US
Practice Address - Phone:203-869-4038
Practice Address - Fax:203-869-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347E00000XTransportation ServicesTransportation Broker