=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255515870
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUPERIOR VAN & MOBILITY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/18/2007
-----------------------------------------------------
Last Update Date | 02/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 125 JAMES DR W STE 200
-----------------------------------------------------
City | SAINT ROSE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70087-4033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-684-2100
-----------------------------------------------------
Fax | 504-910-9174
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 125 JAMES DR W STE 200
-----------------------------------------------------
City | SAINT ROSE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70087-4033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-684-2100
-----------------------------------------------------
Fax | 504-910-9174
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP OF OPERATIONS
-----------------------------------------------------
Name | ERIN ENGELAU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-353-3818
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------