Access Wheelchair Repair, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

19125027 Issued in GA

Legal business name

ACCESS WHEELCHAIR REPAIR, LLC

Practice address

283 Swanson Dr
Ste 103
Lawrenceville, GA 30043-8547

Phone

(770) 609-6187

Fax

(770) 558-2077

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By 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

Theresa Hayes, MHRM, BS

Title

Owner/Operations Manager

Phone

(770) 609-6187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1598039497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 SWANSON DR",
            "address_2": "STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438547",
            "telephone_number": "770-609-6187",
            "fax_number": "770-558-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 SWANSON DR",
            "address_2": "STE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438547",
            "telephone_number": "770-609-6187",
            "fax_number": "770-558-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WHEELCHAIR REPAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "770-609-6187",
        "authorized_official_credential": "MHRM, BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "19125027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.