Provider Demographics
NPI:1689138786
Name:ABLE MOBILITY INC
Entity Type:Organization
Organization Name:ABLE MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-253-7580
Mailing Address - Street 1:586 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2615
Mailing Address - Country:US
Mailing Address - Phone:216-253-7580
Mailing Address - Fax:888-827-4134
Practice Address - Street 1:2333 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-4177
Practice Address - Country:US
Practice Address - Phone:216-253-7580
Practice Address - Fax:888-827-4134
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABLE MOBILITY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH478544725OtherNON-AMBULETT