Organization Active NPI

Scooter Store - Jacksonville LLC

Doing business as The SCOOTER Store/Alliance Seating and Mobility

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1275550253
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCOOTER STORE - JACKSONVILLE LLC
Doing business as
The SCOOTER Store/Alliance Seating and Mobility
Practice address
2431 Saint Johns Bluff Rd S
Ste 113
Jacksonville, FL 32246-2343
Phone
(904) 741-5226
NPI assigned
Jul 16, 2006
Organization subpart
Yes
Parent organization
THE SCOOTER STORE - USA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Jason Cone
Title
General Counsel & Secretary
Phone
(830) 627-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2431 Saint Johns Bluff Rd S
Ste 113
Jacksonville, FL 32246-2343

Mailing address

PO Box 310709
New Braunfels, TX 78131-0709

Other identifiers 2

IdentifierTypeStateIssuer
000856215BMedicaidGA
000355900MedicaidFL

Other names 1

  • The SCOOTER Store/Alliance Seating and Mobility Doing business as

National Provider Directory

National Provider Directory

Locations

2431 Saint Johns Bluff Rd S
Ste 113
Jacksonville, FL 32246
Phone (904) 641-5311

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1275550253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310709",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 SAINT JOHNS BLUFF RD S",
            "address_2": "STE 113",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322462343",
            "telephone_number": "904-741-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER STORE - JACKSONVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SCOOTER STORE - USA, INC.",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "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": "000856215B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000355900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SCOOTER Store/Alliance Seating and Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.