Organization
MOBILITY PLUS HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY ALLAN AVERITT (PRESIDENT)
(270) 360-0486
Entity
Organization
Contact information
Practice address
200 SYCAMORE ST, SUITE 136, ELIZABETHTOWN, KY 42701-2469
(270) 360-0486
(270) 360-1841
Mailing address
200 SYCAMORE ST, SUITE 136, ELIZABETHTOWN, KY 42701-2469
(270) 360-0486
(270) 360-1841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
221831
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201522
ANTHEM BLUE CROSS
KY
01
—
1129616
PASSPORT HEALTH PLAN
KY
01
—
247572000
PASSPORT ADVANTAGE
KY
05
—
90001686
—
KY
Enumeration date
03/05/2007
Last updated
12/18/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up