MEDICARE: NATIONAL SEATING & MOBILITY, INC.

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	251E00000X	Home Health Agency
2	332BC3200X	Customized Equipment (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies	0036430	TX

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891768735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL SEATING & MOBILITY, INC.

Provider Business Mailing Address
First Line	:	5959 SHALLOWFORD ROAD
Second Line	:	SUITE 443
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-2245
Country	:	US
Telephone Number	:	423-756-2268
Fax Number	:	423-266-9690

Provider Business Practice Location Address
First Line	:	2300 VALLEY VIEW LN STE 205
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234
Country	:	US
Telephone Number	:	972-206-7345
Fax Number	:	972-522-0103

Authorized Official
Title or Position	:	SECRETARY
Name	:	JEFFREY MATUKEWICZ
Credential	:
Telephone Number	:	423-756-2268

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	08/06/2018

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