INDEPENDENCEFIRST MOBILITY STORE (NPI# 1710232715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710232715 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCEFIRST MOBILITY STORE |
| Other Organization Name | WHEELCHAIR RECYCLING PROGRAM |
| Practice Address |
12040 W Feerick St Ste N Wauwatosa WI 53222-2109 |
| Mailing Address |
3720 N 124th St Ste F Wauwatosa WI 53222-2100 |
| Practice Telephone | 4149885333 |
| Practice Fax Number | 4149885330 |
| Mailing Telephone | 4149885333 |
| Mailing Fax Number | 4149885330 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | JULIE SCHULZ (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4149885333 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDEPENDENCEFIRST |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Wheelchair Recycling Program | Former Legal Business Name - Organization |
| Street Address |
12040 W FEERICK ST STE N |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53222-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101673 | Dalaina Y Holliman | Technician | 7719 W Fiebrantz Ave, Milwaukee, WI 53222 | 2019-08-30 |
| 1083183016 | Umenia Marie White | Respite Care | 7726 W. Center Street, Apt 1, Milwaukee, WI 53222 | 2018-11-20 |
| 1003399445 | For Eyes Optical Co of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 11450 W. Burleigh St, Wauwatosa, WI 53222 | 2018-09-12 |
| 1558852673 | Joseph Fleming | Physical Therapist | 11450 W Burleigh St, Ste 120, Wauwatosa, WI 53222 | 2018-05-24 |
| 1942739206 | Yolanda D. Burdine | Licensed Practical Nurse | 8327 W. Center St., Apt. 2, Milwaukee, WI 53222 | 2017-06-08 |
| 1558807131 | Midwest Nephrology Associates, Sc | Clinic/Center | 7797 W Appleton Avenue, Milwaukee, WI 53222 | 2017-01-06 |
| 1477097269 | Benjamin David Kluge | Pharmacist | 11111 W Burleigh Rd, Wauwatosa, WI 53222 | 2016-12-13 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1598218562 | Riley's Residential Home Care, LLC | In Home Supportive Care | 10111 W. Capitol Dr, Wauwatosa, WI 53222 | 2016-07-26 |
| 1346696796 | Respiratory and Sleep Services LLC | Durable Medical Equipment & Medical Supplies | 6529 W Fond Du Lac Avenue, Milwaukee, WI 53222 | 2016-05-04 |
| Find all providers in zip 53222 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1548751688 | Athletic & Therapeutic Institute of Milwaukee LLC | Durable Medical Equipment & Medical Supplies | 11450 West Burleigh St, Suite 120, Wauwatosa, WI 53222-3216 | 2018-05-24 |
| 1093195596 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 11111 W Burleigh St, Wauwatosa, WI 53222-3211 | 2015-06-01 |
| 1962768382 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3850 N 124th St, Wauwatosa, WI 53222-2104 | 2012-04-10 |
| 1649562778 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 2999 N. Mayfair Road, Suite 100, Wauwatosa, WI 53222 | 2011-05-09 |
| 1255564993 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1717 N Mayfair Rd, Wauwatosa, WI 53226-3019 | 2009-08-28 |
| 1124194246 | Sleepmed Therapies | Durable Medical Equipment & Medical Supplies | 2433 N Mayfair Rd, Wauwatosa, WI 53226-1406 | 2006-11-28 |
| 1437165875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6600 W State St, Wauwatosa, WI 53213-2836 | 2006-07-31 |
| 1669487716 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10800 W Capitol Dr, Wauwatosa, WI 53222-1109 | 2006-07-29 |
| 1972576528 | National Seating & Mobility Inc | Durable Medical Equipment & Medical Supplies | 12020 W Feerick St Ste A, Wauwatosa, WI 53222-2120 | 2006-02-13 |
| Find all providers in WAUWATOSA | ||||
Please comment or provide details below to improve the information on INDEPENDENCEFIRST MOBILITY STORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.