Healthcare Provider Details

I. General information

NPI: 1629370317
Provider Name (Legal Business Name): UNITED SEATING AND MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 05/18/2025
Certification Date: 05/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1523 S BOWMAN RD STE A
LITTLE ROCK AR
72211-4226
US

IV. Provider business mailing address

805 BROOK ST STE 402
ROCKY HILL CT
06067-3431
US

V. Phone/Fax

Practice location:
  • Phone: 501-221-2258
  • Fax: 501-225-3502
Mailing address:
  • Phone: 314-447-7515
  • Fax: 314-447-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number215266678
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SONIA LEE VILLESCAS
Title or Position: SR MGR LICENSING & CREDENTIALING
Credential:
Phone: 314-447-7515