Provider Demographics
NPI:1316489412
Name:FOLD & GO WHEELCHAIRS
Entity type:Organization
Organization Name:FOLD & GO WHEELCHAIRS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:512-817-3653
Mailing Address - Street 1:2800 INDIAN DIVIDE RD
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-1650
Mailing Address - Country:US
Mailing Address - Phone:512-817-3653
Mailing Address - Fax:512-846-8385
Practice Address - Street 1:2800 INDIAN DIVIDE RD
Practice Address - Street 2:
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-1650
Practice Address - Country:US
Practice Address - Phone:512-817-3653
Practice Address - Fax:512-870-9772
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONEKUBEDDESIGNS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-07
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001841332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
332B00000XOtherTAXONOMY CODE
TX534486OtherBLUE CROSS BLUE SHIELD
TX1001841OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES