Gulf Coast Rehab Equipment Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

13436 Issued in MS

Legal business name

GULF COAST REHAB EQUIPMENT INC

Practice address

500 Campbell Loop
Ste 120
Hattiesburg, MS 39401-3045

Phone

(601) 602-2906

Fax

(601) 602-2977

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Walter Johnson

Title

Credentialing and Licensure Manager

Phone

(314) 447-7515

Specialties & licenses 2

Addresses

Other names 1

• Numotion Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Gulf Coast Rehab Equipment Inc

  • Customized Equipment (DME)
  • Mobile, AL
  • NPI 1558444810

  7214048685

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gulf Coast Rehab Equipment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Gulf Coast Rehab Equipment

  • Customized Equipment (DME)
  • Birmingham, AL
  • NPI 1932290707
  NPD tax ID
• Gulf Coast Rehab Equipment Inc

  • Customized Equipment (DME)
  • Mobile, AL
  • NPI 1558444810
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• United Seating and Mobility LLC

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1538576509

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1336230036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BROOK ST STE 402",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673431",
            "telephone_number": "314-447-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPBELL LOOP",
            "address_2": "STE 120",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013045",
            "telephone_number": "601-602-2906",
            "fax_number": "601-602-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST REHAB EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CREDENTIALING AND LICENSURE MANAGER",
        "authorized_official_telephone_number": "314-447-7515"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MS",
            "license": "13436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Numotion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Numotion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott P Guidry, MD
• John Louis Guillot, DMD
• Matthew Louis Guillot, DDS
• Megan E Guillot, PHARM. D
• Sheerin Gul, MD
• William H Gullung III, MD
• Ava Marie Gunn, LCSW
• Louise Marie Guszick, CRNP
• Gabrielle Michelle Gutierrez, RBT
• Sergio I Gutierrez, LCSW

• Customized Equipment (DME) in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Customized Equipment (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.