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

General Provider Information

NPI Number	:	1497188288
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	:

Provider Business Practice Location Address
First Line	:	1901 PRODUCTION RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3647
Country	:	US
Telephone Number	:	260-471-0206
Fax Number	:	260-471-5109

Authorized Official
Title or Position	:	SR MGR LICENSING & CREDENTIALING
Name	:	SONIA LEE VILLESCAS
Credential	:
Telephone Number	:	314-447-7515

Provider Enumeration Date	:	08/15/2013
Last Update Date	:	05/18/2025

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