Provider Demographics
NPI:1912037961
Name:MOBILITY & MORE, LLC
Entity Type:Organization
Organization Name:MOBILITY & MORE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:BIBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-463-3640
Mailing Address - Street 1:65 PARKER ST STE 4
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4600
Mailing Address - Country:US
Mailing Address - Phone:978-463-3640
Mailing Address - Fax:978-463-3300
Practice Address - Street 1:65 PARKER ST STE 4
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4600
Practice Address - Country:US
Practice Address - Phone:978-463-3640
Practice Address - Fax:978-463-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1540246Medicaid
MA1540246Medicaid