Healthcare Provider Details

I. General information

NPI: 1306149869
Provider Name (Legal Business Name): UNITED SEATING AND MOBILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CAMPUS DR STE 3
NEW BRIGHTON MN
55112-3001
US

IV. Provider business mailing address

805 BROOK ST STE 402
ROCKY HILL CT
06067-3450
US

V. Phone/Fax

Practice location:
  • Phone: 763-571-9176
  • Fax: 763-571-9264
Mailing address:
  • Phone: 314-447-7500
  • Fax: 314-447-7830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number40703562
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

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