Provider Demographics
NPI:1912978669
Name:UNITED SEATING AND MOBILITY LLC
Entity type:Organization
Organization Name:UNITED SEATING AND MOBILITY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING AND LICENSURE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-447-7515
Mailing Address - Street 1:805 BROOK ST STE 402
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3431
Mailing Address - Country:US
Mailing Address - Phone:314-447-7500
Mailing Address - Fax:
Practice Address - Street 1:3130 TERRACE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3634
Practice Address - Country:US
Practice Address - Phone:816-761-2526
Practice Address - Fax:816-761-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
MOLC0049762332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO626071005OtherMISSOURI CARE
KS100414700CMedicaid
MO251910864OtherGREAT WEST LIFE & ANNUITY
MO34833OtherHEALTHCARE USA
MO407086OtherHUMANA CHOICE CARE
MO141330100OtherUS DEPT OF LABOR
MO149833OtherBCBS OF MO
MO626071005Medicaid
MO464794OtherHEALTHLINK
NE10025743900Medicaid
MO32921015OtherBCBS ADVANTAGE PLUS
MO276581OtherAETNA NATIONAL HMO
MO045788OtherFAMILY HEALTH PARTNERS
MO32921015OtherBCBS OF KANSAS CITY
MO7282299OtherAETNA NATIONAL NON-HMO
MO=========DMEOtherST. JOHN'S HEALTH SYSTEM
MO4145170014Medicare NSC