Provider Demographics
NPI:1972080570
Name:ACCESSIBLE VANS AND MOBILITY LLC
Entity type:Organization
Organization Name:ACCESSIBLE VANS AND MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-200-1382
Mailing Address - Street 1:4199 KINROSS LAKES PKWY
Mailing Address - Street 2:SUITE 300; ATTN: COMPLIANCE
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286
Mailing Address - Country:US
Mailing Address - Phone:234-200-1382
Mailing Address - Fax:330-659-0876
Practice Address - Street 1:2303 WALLACE BLVD
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-2571
Practice Address - Country:US
Practice Address - Phone:856-829-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WMK, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-26
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty