Gulf States Mobility and Rehab LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GULF STATES MOBILITY AND REHAB LLC

Practice address

511 Ulman Ave
Bay St Louis, MS 39520-3524

Phone

(504) 251-1492

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Kris Geroux, ATP

Title

Majority Stockholder

Phone

(662) 418-1328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1639487523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BEACH BLVD",
            "city": "WAVELAND",
            "state": "MS",
            "postal_code": "395764204",
            "telephone_number": "662-418-1328",
            "fax_number": "229-467-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ULMAN AVE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395203524",
            "telephone_number": "504-251-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES MOBILITY AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "GEROUX",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "MAJORITY STOCKHOLDER",
        "authorized_official_telephone_number": "662-418-1328",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Bay St Louis, MS
• Providers in Bay St Louis, 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 Sep 14, 2010; 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.