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THE MOBILITY DEPOT LLC NPI 1417912924


NPI Information

NPI: 1417912924
Provider Name: THE MOBILITY DEPOT, LLC

Other Name: MOBILITY DEPOT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7931 ONE CALAIS AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 215-2222
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THE MOBILITY DEPOT, LLC is a durable medical equipment medical supplies in Baton Rouge, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THE MOBILITY DEPOT, LLC NPI is 1417912924. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mobility Depot.

The provider's business location address is:

7931 ONE CALAIS AVE
BATON ROUGE, LA
ZIP 70809-403
Phone: (225) 215-2222
Fax: (225) 215-2248

The provider's authorized official is Keith Edward Menville .
The authorized official title is Owner and has the following contact phone number (225) 215-2222.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 7/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225CA2500XRehabilitation CounselorAssistive Technology SupplierNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F8861OTHERLOUISIANABLUECROSS BLUESHIELD
214384211MEDICAIDLOUISIANA
3602016103OTHERLOUISIANAUS DEPT OF LABOR
412950OTHERLOUISIANALA REHAB SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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