The Mobility Depot of Monroe, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0600002125 Issued in LA

Legal business name

THE MOBILITY DEPOT OF MONROE, LLC

Practice address

1300 Cypress St
West Monroe, LA 71291-2710

Phone

(318) 322-2474

Fax

(318) 322-2479

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

(225) 215-2222

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 Lafayette, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
  • NPI 1144362765
  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": "1275675803",
    "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": "1300 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912710",
            "telephone_number": "318-322-2474",
            "fax_number": "318-322-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY DEPOT OF MONROE, 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": "225-215-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "0600002125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1131105",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teaster Optical
• Julia Wroten Terral, RDH (REGISTERED DENT
• Terry D. King, MD AMC
• Amber Terry, MS, CCC-SLP
• The Foot and Ankle Clinic of West Monroe, LLC
• The Speech Lady
• The Systemic Awakening
• Megan Thibodaux
• Zackery Thomas
• Janice Thompson

• Durable Medical Equipment & Medical Supplies in West Monroe, LA
• Providers in West Monroe, 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.