Provider Demographics
NPI:1497793103
Name:AMERICAN WHEELCHAIRS
Entity Type:Organization
Organization Name:AMERICAN WHEELCHAIRS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNIGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-538-0604
Mailing Address - Street 1:12547 66TH ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-3440
Mailing Address - Country:US
Mailing Address - Phone:727-538-0614
Mailing Address - Fax:
Practice Address - Street 1:12547 66TH ST
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-3440
Practice Address - Country:US
Practice Address - Phone:727-538-0614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR9325OtherBC/BS
4392430001Medicare ID - Type Unspecified