1346662160 NPI number — UNITED SEATING AND MOBILITY LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346662160 NPI number — UNITED SEATING AND MOBILITY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED SEATING AND MOBILITY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346662160
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
805 BROOK ST STE 402
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKY HILL
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06067-3431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-447-7515
Provider Business Mailing Address Fax Number:
855-875-7973

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11106 25TH AVENUE EAST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98445-5328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-830-2020
Provider Business Practice Location Address Fax Number:
877-577-4284
Provider Enumeration Date:
01/14/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VILLESCAS
Authorized Official First Name:
SONIA
Authorized Official Middle Name:
Authorized Official Title or Position:
SR. LICENSING & CREDENTIALING MGR
Authorized Official Telephone Number:
314-447-7515

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)