Provider Demographics
NPI:1861656860
Name:UNITED SEATING AND MOBILITY LLC
Entity Type:Organization
Organization Name:UNITED SEATING AND MOBILITY LLC
Other - Org Name:NUMOTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING AND LICENSURE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-447-7515
Mailing Address - Street 1:805 BROOK ST STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:
Practice Address - Street 1:4500 E SPEEDWAY BLVD
Practice Address - Street 2:SUITE 99
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5304
Practice Address - Country:US
Practice Address - Phone:520-323-4496
Practice Address - Fax:520-323-0387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR-1428022-2332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ365145Medicaid
AZ365145Medicaid