Organization
THE MOBILITY DEPOT, LLC
Active
Other names
MOBILITY DEPOT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH EDWARD MENVILLE (OWNER)
(225) 215-2222
Entity
Organization
Contact information
Practice address
7931 ONE CALAIS AVE, BATON ROUGE, LA 70809-3403
(225) 215-2222
(225) 215-2248
Mailing address
7931 ONE CALAIS AVE, BATON ROUGE, LA 70809-3403
(225) 215-2222
(225) 215-2248
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12950
LA REHAB SERVICES
LA
05
—
14384211
—
LA
01
—
602016103
US DEPT OF LABOR
LA
01
—
F8861
BLUECROSS BLUESHIELD
LA
Enumeration date
04/18/2006
Last updated
07/08/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up