MEDICARE: SUPERIOR VAN & 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	261QM2500X	Medical Specialty Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538343157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR VAN & MOBILITY, LLC

Provider Business Mailing Address
First Line	:	17260 JEFFERSON HWY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-6992
Country	:	US
Telephone Number	:	225-663-8830
Fax Number	:	225-410-7328

Provider Business Practice Location Address
First Line	:	17260 JEFFERSON HWY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-6992
Country	:	US
Telephone Number	:	225-663-8830
Fax Number	:	225-410-7328

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	ERIN ENGELAU
Credential	:
Telephone Number	:	317-353-3818

Provider Enumeration Date	:	12/18/2007
Last Update Date	:	02/03/2026

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