The Mobility Depot of Lafayette, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE MOBILITY DEPOT OF LAFAYETTE, LLC

Practice address

258 Bendel Rd
Lafayette, LA 70503-2919

Phone

(337) 233-9382

Fax

(337) 233-9415

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keith Menville

Title

Owner

Phone

(337) 233-9382

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mobility Depot4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Mobility Depot of Monroe, LLC

  • Durable Medical Equipment & Medical Supplies
  • West Monroe, LA
  • NPI 1275675803
  NPD tax ID
• The Mobility Depot, LLC

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
  • NPI 1417912924
  NPD tax ID
• The Mobility Depot, LLC

  • Assistive Technology Supplier Rehabilitation Counselor
  • Baton Rouge, LA
  • NPI 1891347779
  NPD tax ID

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144362765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 ONE CALAIS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093403",
            "telephone_number": "225-215-2222",
            "fax_number": "225-215-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 BENDEL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032919",
            "telephone_number": "337-233-9382",
            "fax_number": "337-233-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY DEPOT OF LAFAYETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENVILLE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-233-9382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Physical Medicine Center, Inc.
• The Psychiatric Medicine Institute of la LLC
• The Psychology Group
• The Quad USA LLC (The Quad)
• The Rajapho Company LLC

• Durable Medical Equipment & Medical Supplies in Lafayette, LA
• Providers in Lafayette, 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 22, 2020; 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.