MEDICARE: MAXIMUM MOBILITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0041442	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134225709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAXIMUM MOBILITY, INC.

Provider Business Mailing Address
First Line	:	3237 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-2902
Country	:	US
Telephone Number	:	361-241-1800
Fax Number	:	361-242-1804

Provider Business Practice Location Address
First Line	:	3237 S PADRE ISLAND DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78415-2902
Country	:	US
Telephone Number	:	361-241-1800
Fax Number	:	361-242-1804

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	BLANCH FERNANDEZ
Credential	:
Telephone Number	:	361-241-1800

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	07/14/2023

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