KN Enterprise, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KN ENTERPRISE, LLC

Doing business as

Southern Mobility Solutions

Practice address

9163 Comar Drive
Suite a
Walker, LA 70785-7019

Phone

(504) 715-6658

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carl J RaveyNPI 1093288581

Title

Owner

Phone

(225) 939-4904

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southern Mobility Solutions Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Ravey

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1093288581
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1124858543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MANHATTAN BLVD",
            "address_2": "SUITE J226",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587300",
            "telephone_number": "504-715-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9163 COMAR DRIVE",
            "address_2": "SUITE A",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857019",
            "telephone_number": "504-715-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KN ENTERPRISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "RAVEY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-939-4904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503472",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Mobility Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kori Fogg Juban
• Esther S Kim, M.A. CCC-SLP
• Miriam Carroll Crumby Kimball, SSP, NCSP
• Christie Kinchen, M.ED, NCC, NCSC, LPC
• Kamryn Alise King, PA-C
• Mary Jane Knight
• La Trouve' Inc.
• La Trouve' Inc.
• La Trouve' Inc.
• La Trouve' Inc.

• Durable Medical Equipment & Medical Supplies in Walker, LA
• Providers in Walker, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.