Provider Demographics
NPI:1992237168
Name:SENIOR MOBILITY AIDS, INC.
Entity type:Organization
Organization Name:SENIOR MOBILITY AIDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:LAFAYETTE
Authorized Official - Last Name:NEWSOME
Authorized Official - Suffix:JR
Authorized Official - Credentials:ATP
Authorized Official - Phone:760-599-8800
Mailing Address - Street 1:6965 EL CAMINO REAL # 105-253
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-4100
Mailing Address - Country:US
Mailing Address - Phone:442-245-3006
Mailing Address - Fax:855-928-2525
Practice Address - Street 1:2794 LOKER AVE W STE 102
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010
Practice Address - Country:US
Practice Address - Phone:760-599-8800
Practice Address - Fax:855-928-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47079332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment