Provider Demographics
NPI:1205229051
Name:NATIONAL MOBILITY SERVICE INC
Entity type:Organization
Organization Name:NATIONAL MOBILITY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MBIYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-722-0294
Mailing Address - Street 1:1902 SHARON FOREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212
Mailing Address - Country:US
Mailing Address - Phone:704-372-1991
Mailing Address - Fax:704-372-1992
Practice Address - Street 1:1902 SHARON FOREST DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6956
Practice Address - Country:US
Practice Address - Phone:704-372-1991
Practice Address - Fax:704-372-1992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)