THE MOBILITY DEPOT, LLC (NPI# 1891347779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891347779 |
| Entity Type | Organization |
| Organization Name | THE MOBILITY DEPOT, LLC |
| Practice Address |
7931 One Calais Ave Baton Rouge LA 70809-3403 |
| Practice Telephone | 2252152222 |
| Practice Fax Number | 2252152222 |
| Mailing Telephone | 2252152222 |
| Mailing Fax Number | 2252152222 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | MR. KEITH EDWARD MENVILLE (CEO/OWNER) |
| Authorized Official Telephone | 2252152222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225CA2500X |
Rehabilitation Counselor Specialization: Assistive Technology Supplier |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367815 | The Mobility Depot, LLC | Durable Medical Equipment & Medical Supplies | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2019-07-11 |
| 1417912924 | The Mobility Depot, LLC | Rehabilitation Counselor | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2006-04-18 |
| Street Address |
7931 ONE CALAIS AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437114014 | Atlas Mobility, LLC | Durable Medical Equipment & Medical Supplies | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2006-04-18 |
| 1093367815 | The Mobility Depot, LLC | Durable Medical Equipment & Medical Supplies | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2019-07-11 |
| 1417912924 | The Mobility Depot, LLC | Rehabilitation Counselor | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 225CA2500X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| Specialization | Assistive Technology Supplier |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912924 | The Mobility Depot, LLC | Rehabilitation Counselor | 7931 One Calais Ave, Baton Rouge, LA 70809-3403 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649716341 | Chad Jameson | Rehabilitation Counselor | 127 Woodlake Dr, Pineville, LA 71360-4762 | 2017-01-18 |
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on THE MOBILITY DEPOT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.