Provider Demographics
NPI:1053381020
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:SR MGR LICENSING & CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:VILLESCAS
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:314-447-7830
Practice Address - Street 1:412 W DUSSEL DR
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1686
Practice Address - Country:US
Practice Address - Phone:419-842-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1228434332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI141330100OtherUS DEPT OF LABOR
OH2268013Medicaid
MI276581OtherAETNA-NATIONAL HMO
OH276581OtherAETNA NATIONAL-HMO
OH407105OtherHUMANA CHOICE CARE
MI14477OtherKIDS CARE OF MI
MI7282299OtherAETNA NATIONAL NON-HMO
OH000000225965OtherANTHEM BCBS OF OH
OH04155OtherPARAMOUNT HEALTH PLAN
OH141330100OtherUS DEPT. OF LABOR
OH540H104210OtherBCBS OF MI
MI125235OtherGREAT LAKES HEALTH PLAN
OH251910864OtherGREAT WEST LIFE & ANNUITY
MI407054OtherHUMANA CHOICE CARE
OH7282299OtherAETNA NATIONAL NON-HMO
MI1053381020Medicaid
MI20549OtherHEALTH PLAN OF MI
MI251910864OtherGREAT WEST LIFE & ANNUITY
MI141330100OtherUS DEPT OF LABOR