Provider Demographics
NPI:1942567284
Name:HILL COUNTRY MOBILITY
Entity Type:Organization
Organization Name:HILL COUNTRY MOBILITY
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:210-478-6765
Mailing Address - Street 1:4815 QUARRY RUN STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4571
Mailing Address - Country:US
Mailing Address - Phone:210-314-6451
Mailing Address - Fax:888-835-9759
Practice Address - Street 1:4815 QUARRY RUN STE 103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4571
Practice Address - Country:US
Practice Address - Phone:210-314-6451
Practice Address - Fax:888-835-9759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X, 171WH0202X, 171WV0202X, 332S00000X
TX0801459770332B00000X
TX332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty