The Mobility Depot of Houma, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE MOBILITY DEPOT OF HOUMA, LLC

Practice address

501 Barrow St
Suite a
Houma, LA 70360-4605

Phone

(985) 872-4446

Fax

(985) 872-6325

NPI assigned

Apr 18, 2006

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 1

Addresses

Other identifiers 4

Other names 1

• Mobility Depot of Houma Other name

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1891750485",
    "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": "501 BARROW ST",
            "address_2": "SUITE A",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604605",
            "telephone_number": "985-872-4446",
            "fax_number": "985-872-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOBILITY DEPOT OF HOUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-04-23",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "602016500",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BESTCARE",
            "identifier": "690001032",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF GROUP BENEFITS",
            "identifier": "690001032",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122131",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Depot of Houma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Houma, LA
• Providers in Houma, 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 Apr 23, 2008; 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.