MEDICARE: UNITED SEATING AND MOBILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	1228434	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04155	OTHER	OH	PARAMOUNT HEALTH PLAN
2	251910864	OTHER	OH	GREAT WEST LIFE & ANNUITY
3	276581	OTHER	OH	AETNA NATIONAL HMO
4	141330100	OTHER	OH	US DEPT OF LABOR
5	7282299	OTHER	OH	AETNA NATIONAL NON-HMO
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	000000225965	OTHER	OH	ANTHEM BCBS OF OH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	407105	OTHER	OH	HUMANA CHOICE CARE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568475341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED SEATING AND MOBILITY LLC

Provider Business Mailing Address
First Line	:	805 BROOK ST STE 402
Second Line	:
City	:	ROCKY HILL
State	:	CT
Zip	:	06067-3431
Country	:	US
Telephone Number	:	314-447-7500
Fax Number	:	314-447-7830

Provider Business Practice Location Address
First Line	:	6171 HUNTLEY RD STE M
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1047
Country	:	US
Telephone Number	:	614-515-2156
Fax Number	:	614-515-2165

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	WALTER JOHNSON
Credential	:
Telephone Number	:	314-447-7515

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	05/12/2023

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Directions to “UNITED SEATING AND MOBILITY LLC ” Practice Location

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