Healthcare Provider Details
I. General information
NPI: 1649551474
Provider Name (Legal Business Name): NATIONAL SEATING & MOBILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2011
Last Update Date: 07/30/2020
Certification Date: 07/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
65 SHILOH RD
ASHEVILLE NC
28803-2929
US
IV. Provider business mailing address
5959 SHALLOWFORD RD SUITE 443
CHATTANOOGA TN
37421-2285
US
V. Phone/Fax
- Phone: 828-277-2577
- Fax: 828-277-2581
- Phone: 423-756-2268
- Fax: 423-266-9690
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171W00000X |
| Taxonomy | Contractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171WH0202X |
| Taxonomy | Home Modifications Contractor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171WV0202X |
| Taxonomy | Vehicle Modifications Contractor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225CA2500X |
| Taxonomy | Assistive Technology Supplier Rehabilitation Counselor |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
MATUKEWICZ
Title or Position: SECRETARY
Credential:
Phone: 423-756-2268