Provider Demographics
NPI:1154377455
Name:MOBILITY SPECIALISTS, INC.
Entity type:Organization
Organization Name:MOBILITY SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LANGLOIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-832-1885
Mailing Address - Street 1:3650 AIRLINE DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5800
Mailing Address - Country:US
Mailing Address - Phone:504-832-1885
Mailing Address - Fax:504-832-1887
Practice Address - Street 1:3650 AIRLINE DR
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5800
Practice Address - Country:US
Practice Address - Phone:504-832-1885
Practice Address - Fax:504-832-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1472711001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1554022Medicaid
LA1264400001Medicare ID - Type Unspecified