Active NPI
Mr. Wheelchair, Inc.
- Durable Medical Equipment & Medical Supplies
- Jefferson, LA
National Provider Identifier
1821075862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MR. WHEELCHAIR, INC.
- Practice address
- 1201 Jefferson Hwy
Suite a
Jefferson, LA 70121-2439 - Phone
- (504) 834-2810
- Fax
- (504) 828-6457
- NPI assigned
- Dec 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sean Brauer
- Title
- Manager
- Phone
- (504) 834-2810
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1201 Jefferson Hwy
Suite a
Jefferson, LA 70121-2439
Mailing address
1201 Jefferson Hwy
Suite a
Jefferson, LA 70121-2439
Phone (504) 834-2810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6490 | Other | LA | BCBS OF LA PROVIDER # |
| 1661287 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066962 | LA | DME Supplier - Medical Supply Company | 7517086572 | Practice locations: Jefferson, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mr Wheelchair Inc | Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applica… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1201 Jefferson Hwy
Ste A
New Orleans, LA 70121
Phone (504) 834-2810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309478400000",
"number": "1821075862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 JEFFERSON HWY",
"address_2": "SUITE A",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701212439",
"telephone_number": "504-834-2810",
"fax_number": "504-828-6457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 JEFFERSON HWY",
"address_2": "SUITE A",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701212439",
"telephone_number": "504-834-2810",
"fax_number": "504-828-6457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MR. WHEELCHAIR, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2011-07-01",
"status": "A",
"authorized_official_last_name": "BRAUER",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "504-834-2810",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"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
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF LA PROVIDER #",
"identifier": "C6490",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1661287",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.