Healthcare Provider Details

I. General information

NPI: 1417877663
Provider Name (Legal Business Name): ADAPTABLE MOBILITY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 E STATE ROAD 38
PENDLETON IN
46064-9008
US

IV. Provider business mailing address

443 E STATE ROAD 38
PENDLETON IN
46064-9008
US

V. Phone/Fax

Practice location:
  • Phone: 330-412-1161
  • Fax:
Mailing address:
  • Phone: 330-412-1161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SHAFFER
Title or Position: OWNER
Credential:
Phone: 330-412-1161