Scooter Store - Grand Rapids LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCOOTER STORE - GRAND RAPIDS LLC

Practice address

4334 Brockton Dr SE Ste E
Kentwood, MI 49512-4117

Phone

(616) 554-0286

NPI assigned

Jul 15, 2006

Organization subpart

Yes

Parent organization

THE SCOOTER STORE - USA, INC.As reported in NPPES

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

Authorized official

Name

Jason Cone

Title

General Counsel & Secretary

Phone

(830) 627-4433

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The SCOOTER Store/Alliance Seating & Mobility Doing business as

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1982620381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310709",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781310709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 BROCKTON DR SE STE E",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495124117",
            "telephone_number": "616-554-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER STORE - GRAND RAPIDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SCOOTER STORE - USA, INC.",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "GENERAL COUNSEL & SECRETARY",
        "authorized_official_telephone_number": "830-627-4433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582093",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The SCOOTER Store/Alliance Seating & Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Nicole Schock
• David J. Scholten, O.D.
• Sharon Schroeder Dass
• Erin Patricia Schroeder, PHARMD
• Mary Margaret Schwanzl
• Helen Scott, MD
• Duaa Seblani
• Selam Home Care
• Sydney Joyce Semear, BT
• Taylor N Serna, BEHAVIOR TECHNICIAN

• Durable Medical Equipment & Medical Supplies in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.