The Mobility Depot, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE MOBILITY DEPOT, LLC

Practice address

7931 One Calais Ave
Baton Rouge, LA 70809-3403

Phone

(225) 215-2222

Fax

(225) 215-2248

NPI assigned

Apr 18, 2006

Last updated

Jul 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keith Edward Menville

Title

Owner

Phone

(225) 215-2222

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• MOBILITY DEPOT Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 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 of Monroe, LLC

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

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

Member of 1

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

• Florida Home Medical Supply LLC

  dba Colonial Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Kissimmee, FL
  • NPI 1114125143

  Member Of

  NPD member

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1417912924",
    "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": "225-215-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 ONE CALAIS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093403",
            "telephone_number": "225-215-2222",
            "fax_number": "225-215-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY DEPOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MENVILLE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-215-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225CA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "F8861",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "602016103",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA REHAB SERVICES",
            "identifier": "12950",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14384211",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOBILITY DEPOT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MOBILITY DEPOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Louisiana Center for Health and Wellness LLC
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• The Mobility Depot, LLC
• The Mobility Depot, LLC
• The Monte' Garcia Salon
• The Natural Health Clinic and Spa (Florida Baker)
• The Neuro Medical Center Rehabilitation Hospital
• The Neuro Medical Center Rehabilitation Hospital

• Durable Medical Equipment & Medical Supplies in Baton Rouge, LA
• Providers in Baton Rouge, 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 Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.