Provider Demographics
NPI:1316085020
Name:CAROLINA MOBILITY & SEATING, INC.
Entity type:Organization
Organization Name:CAROLINA MOBILITY & SEATING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELICK
Authorized Official - Middle Name:B
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-303-0902
Mailing Address - Street 1:317 S WESTGATE DR STE M
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1633
Mailing Address - Country:US
Mailing Address - Phone:336-808-1261
Mailing Address - Fax:336-808-1262
Practice Address - Street 1:317 S WESTGATE DR STE M
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1633
Practice Address - Country:US
Practice Address - Phone:336-808-1261
Practice Address - Fax:336-808-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704401Medicaid
NC7704401Medicaid