Healthcare Provider Details

I. General information

NPI: 1366119729
Provider Name (Legal Business Name): ACCESSIBILITY MEDICAL EQUIPMENT AND HOME MODIFICATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 DELAWARE ST # 102
KANSAS CITY MO
64105-1215
US

IV. Provider business mailing address

311 DELAWARE ST # 102
KANSAS CITY MO
64105-1215
US

V. Phone/Fax

Practice location:
  • Phone: 866-201-3829
  • Fax:
Mailing address:
  • Phone: 866-201-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: CARL MANION
Title or Position: VICE PRESIDENT
Credential:
Phone: 866-201-3829