Provider Demographics
NPI:1982564464
Name:RESTORE & MOBILIZE LLC
Entity type:Organization
Organization Name:RESTORE & MOBILIZE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KHOY
Authorized Official - Middle Name:
Authorized Official - Last Name:STOUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-486-7788
Mailing Address - Street 1:660 8TH ST APT 213
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-8003
Mailing Address - Country:US
Mailing Address - Phone:407-486-7788
Mailing Address - Fax:
Practice Address - Street 1:660 8TH ST APT 213
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-8003
Practice Address - Country:US
Practice Address - Phone:407-486-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty