Provider Demographics
NPI:1487624193
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 LICENSING & CREDENTIALING MGR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
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:
Practice Address - Street 1:13450 SMITH RD STE 600A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-2045
Practice Address - Country:US
Practice Address - Phone:303-781-1474
Practice Address - Fax:303-762-9612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
CO20011195317332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7282299OtherAETNA NATIONAL NON-HMO
CO276581OtherAETNA NATIONAL HMO
NE10026058300Medicaid
CO64731359Medicaid
CO141330100OtherUS DEPT OF LABOR
CO251910864OtherGREAT WEST LIFE & ANNUITY
CO407066OtherHUMANA CHOICE CARE
WY1487624193Medicaid
NE10026058300Medicaid
CO251910864OtherGREAT WEST LIFE & ANNUITY