Provider Demographics
NPI:1376549691
Name:WHEELCHAIR SPECIALTIES LLC
Entity Type:Organization
Organization Name:WHEELCHAIR SPECIALTIES LLC
Other - Org Name:REMY JAMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:ATS
Authorized Official - Phone:985-218-9699
Mailing Address - Street 1:28480 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3624
Mailing Address - Country:US
Mailing Address - Phone:985-218-9699
Mailing Address - Fax:
Practice Address - Street 1:28480 S LAKE DR
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-3624
Practice Address - Country:US
Practice Address - Phone:985-218-9699
Practice Address - Fax:985-218-9699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1465267Medicaid
LA14712OtherLA. REHABILITATION SERVIC
LA=========OtherEARLY STEPS