Superior Van & Mobility
NPI 1720166853ActiveOrganization· Contractor, Vehicle Modifications· Fort Wayne, IN
Contractor, Vehicle Modifications in Fort Wayne, Indiana, registered in NPPES in November 2006. The authorized official on file is Sam Cook, Owner.
Overview
| NPI | 1720166853 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2006 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor, Vehicle Modifications Primary | 171WV0202X | 205552 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|