ELITE MEDICAL & MOBILITY, LLC (NPI# 1295079465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295079465 |
| Entity Type | Organization |
| Organization Name | ELITE MEDICAL & MOBILITY, LLC |
| Other Organization Name | ELITE MEDICAL |
| Practice Address |
6201 Technology Dr Ste 119 Frisco TX 75033-3266 |
| Mailing Address |
12062 Via Bello Ct Frisco TX 75035-2297 |
| Practice Telephone | 2146974851 |
| Practice Fax Number | 2149751115 |
| Mailing Telephone | 2146974851 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | PAMELA ETZEL (OWNER) |
| Authorized Official Telephone | 2146974851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 318679301 | 05 |
| Other Name | Type Code |
|---|---|
| Elite Medical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELITE MEDICAL & MOBILITY, LLC | 12062 Via Bello Ct, Frisco, TX 75035-2297 |
| Street Address |
6201 TECHNOLOGY DR STE 119 |
| City | FRISCO |
| State | TX |
| Zip Code | 75033-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1508418096 | Triniti Dme Solutions LLC | Durable Medical Equipment & Medical Supplies | 5899 Preston Rd Ste 102, Frisco, TX 75034-9587 | 2019-07-15 |
| 1831741446 | United Dme | Durable Medical Equipment & Medical Supplies | 10880 John W. Elliott Dr, Suite 700, Frisco, TX 75033-3274 | 2019-07-13 |
| 1447733183 | Gulf Coast Medical LLC | Durable Medical Equipment & Medical Supplies | 2770 Main St Ste 203, Frisco, TX 75033-4428 | 2018-09-10 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1801385828 | Golden Years Renovations LLC | Durable Medical Equipment & Medical Supplies | 15922 Eldorado Pkwy Ste 500-1592, Frisco, TX 75035-5836 | 2018-05-04 |
| 1407372311 | Starwood Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3550 Parkwood Blvd Ste 111, Frisco, TX 75034-1904 | 2017-08-22 |
| 1528589454 | Wal Mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 350 Stonebrook Pkwy, Frisco, TX 75034 | 2017-06-30 |
| 1568999258 | Skor Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 9359 Legacy Dr Ste 300, Frisco, TX 75033-6710 | 2017-05-12 |
| Find all providers in FRISCO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.