Provider Demographics
NPI:1831496611
Name:SCOOTERS AMERICA LLC
Entity Type:Organization
Organization Name:SCOOTERS AMERICA LLC
Other - Org Name:AMERICAN SEATING & MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:JESKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-773-8448
Mailing Address - Street 1:12130 NE AINSWORTH CIR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-9009
Mailing Address - Country:US
Mailing Address - Phone:971-235-6186
Mailing Address - Fax:
Practice Address - Street 1:7525 NE AMBASSADOR PL STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-6808
Practice Address - Country:US
Practice Address - Phone:503-253-4655
Practice Address - Fax:503-253-4640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181416Medicaid
4540470003Medicare NSC