1053753988 NPI number — UNITED SEATING AND MOBILITY LLC

Table of content: (NPI 1053753988)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053753988 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:
1053753988
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2025
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:
314-447-7500
Provider Business Mailing Address Fax Number:
314-447-7830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 HAWTHORNE AVE SE
Provider Second Line Business Practice Location Address:
C340
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97301-5860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-385-4954
Provider Business Practice Location Address Fax Number:
503-391-7325
Provider Enumeration Date:
07/19/2013

Additional Information

Authorized Official

Authorized Official Last Name:
VILLESCAS
Authorized Official First Name:
SONIA
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
SR MGR LICENSING & CREDENTIALING
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)





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