Healthcare Provider Details

I. General information

NPI: 1417811274
Provider Name (Legal Business Name): FOLSOM MOBILITY SCOOTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9940 BUSINESS PARK DR STE 180
SACRAMENTO CA
95827-1728
US

IV. Provider business mailing address

162 BIG VALLEY RD
FOLSOM CA
95630-4646
US

V. Phone/Fax

Practice location:
  • Phone: 916-850-3100
  • Fax: 916-850-3100
Mailing address:
  • Phone: 279-321-9478
  • Fax: 279-321-9478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KEVIN BOYD
Title or Position: PRESIDENT
Credential:
Phone: 279-321-9478