Look up the most recent NPI and PECOS records

Great American Scooter Company Of Humble Llc

Durable Medical Equipment & Medical Supplies

Suppliers

2037 Johnston St, Lafayette, LA 70503-2784

PECOS Enrollment

Based on the most recent information from CMS, provider Great American Scooter Company Of Humble Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1962022475
Provider Type
Organization
Full Name
Great American Scooter Company Of Humble Llc

Subpart
Yes
Enumeration Date
4/24/2020
Last Updated
4/24/2020

Contact Information

Practice Location

2037 Johnston St, Lafayette, LA 70503-2784

(281) 639-4177

Unlisted Fax

Mailing Location

2037 Johnston St, Lafayette, LA 70503-2784

(281) 639-4177

Unlisted Fax

Authorized Official

Liles, Troy (President)

(832) 445-0956

Provider Taxonomies

Code	Description	License
Code 332B00000X Primary	Description Durable Medical Equipment & Medical Supplies Suppliers	License Unlisted Issuer

Great American Scooter Company Of Humble Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Code

Description

License

Code

Description

License

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