Organization Active NPI

Superior Van & Mobility, LLC

  • Medical Specialty Clinic/Center
  • Saint Rose, LA
National Provider Identifier
1235312927
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SUPERIOR VAN & MOBILITY, LLC
Practice address
125 James Dr W Ste 200
Saint Rose, LA 70087-4033
Phone
(504) 684-2100
Fax
(504) 910-9174
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Erin Engelau
Title
VP of Operations
Phone
(317) 353-3818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

125 James Dr W Ste 200
Saint Rose, LA 70087-4033

Mailing address

125 James Dr W Ste 200
Saint Rose, LA 70087-4033
Phone (504) 684-2100

Other identifiers 3

IdentifierTypeStateIssuer
1720166853MedicaidIN
1306924733MedicaidIN
1721395MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Superior Van Mobility LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1901 Westbank Expy
Ste 500
Harvey, LA 70058
Phone (504) 247-9120

125 James Dr W
Ste 200
Saint Rose, LA 70087
Phone (504) 684-2100

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1235312927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JAMES DR W STE 200",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700874033",
            "telephone_number": "504-684-2100",
            "fax_number": "504-910-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JAMES DR W STE 200",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700874033",
            "telephone_number": "504-684-2100",
            "fax_number": "504-910-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR VAN & MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ENGELAU",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "317-353-3818"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720166853",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306924733",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721395",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Rose, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.