Organization Active NPI

Mr. Wheelchair, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jefferson, LA
National Provider Identifier
1821075862
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 1, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C6490OtherLABCBS OF LA PROVIDER #
1661287MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930066962 LA DME Supplier - Medical Supply Company 7517086572 Practice locations: Jefferson, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Mr Wheelchair Inc1201 Jefferson Hwy, Jefferson, LA 70121-2436(504) 834-2810 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 assignmentParticipating since Jan 1, 2004

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.