Healthcare Provider Details

I. General information

NPI: 1023935079
Provider Name (Legal Business Name): KEEP ROLLING MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3622 E EDGEWOOD AVE
INDIANAPOLIS IN
46227-7035
US

IV. Provider business mailing address

3622 E EDGEWOOD AVE
INDIANAPOLIS IN
46227-7035
US

V. Phone/Fax

Practice location:
  • Phone: 317-349-2105
  • Fax:
Mailing address:
  • Phone: 317-349-2105
  • Fax:

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: ZACHARY SMITH
Title or Position: OWNER
Credential:
Phone: 317-349-2105