Pride Mobility Essential Collection Owner's manual

Brand: Pride Mobility

Model: Essential Collection

Type: Owner's manual

Page 1 of 2INFINFB3719/RevF/21SEP2020

Essential Collection Order Form

Pride Mobility Products Corporation

401 York Avenue, Duryea, PA 18642

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

Account Number: ___________ Date: ________________

Provider Name: __________________________________

Contact: ________________________________________

Phone: ___________________ Fax: _________________

Email: __________________________________________

PO Number: _____________________________________

Marked for: _____________________________________

Ship to Address: _________________________________

City: _____________________ State: ______ Zip: ______

Essential Collection

3-Position, Full Recline Chaise Lounger.

LC-105 ....................................................................................................................................................................................................$899

Part: LC105MODEL

Height Range: 5′2″ to 5′10″. Weight Capacity: 325 lbs. Seat Width: 20″.

HCPCS: E0627 — seat lift mechanism, electric, any type.

LC-250 ................................................................................................................................................................................................. $1,149

Part: LC250MODEL

Height Range: 5′4″ to 6′. Weight Capacity: 375 lbs. Seat Width: 22″.

HCPCS: E0627 — seat lift mechanism, electric, any type.

This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat.

HCPCS codes provided should not be considered as legal advice and do not guarantee reimbursement. DME providers are responsible for determining

the appropriate billing codes when submitting for insurance reimbursement. Payer coding, coverage, and bundling guidelines may apply. All prices are

MSRP. Prices, specications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available

when congured as a complete power lift recliner. Pride Providers may contact Technical Services for accurate parts ordering.

Thank you for choosing Pride

Mobility Products!

Introduction

LC-105 Fabrics

Micro-suede Cocoa ..............................Standard

Part: FACOC

Micro-suede Sky ...................................Standard

Part: FABSKY

Micro-suede Sandal .............................Standard

Part: FABSDL

Lexis Urethane Chestnut ...............................$50

Part: FABLNCHEV

Select a Fabric Color

Cloud 9 Black Cherry ...........................Standard

Part: FABBCH

Cloud 9 Pacic ......................................Standard

Part: FABPAC

Cloud 9 Stone ........................................Standard

Part: FABSTN

Cloud 9 Walnut ......................................Standard

Part: FABWAL

Lexis Sta-Kleen

Chestnut .......................... $150

Part: FABSKC

LC-250 Fabrics

FDA Class II Medical Device*

LC-105

Shown in Lexis Urethane Chestnut

Page 2 of 2INFINFB3719/RevF/21SEP2020

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PrideMobilityProducts

Account Number: ___________ Date: ________________ Marked for: _____________________________________

Pride Mobility Products Corporation

401 York Avenue, Duryea, PA 18642

Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com

LIFT

*Pride

Power Lift Recliners are FDA Class II Medical Devices designed to aid individuals with mobility impairments.

Lift Chair Fabric Cleaning Kit ...............................................................................................................................................$39.90 ea.

Part: ACC2001791

Select upgrades and accessories

Head Pillows

For LC-250 only. Not available with LC-105.

Cloud 9 Black Cherry ..........................................................$50

Part: UPSHDPL8110001

Cloud 9 Pacic .....................................................................$50

Part: UPSHDPL8110002

Cloud 9 Stone ....................................................................... $50

Part: UPSHDPL8110004

Cloud 9 Walnut ..................................................................... $50

Part: UPSHDPL8110005

Lexis Sta-Kleen

Chestnut ................................................. $50

Part: UPSHDPL1453

Bolster Pillows

For LC-250 only. Not available with LC-105.

Lumbar Pillows

For LC-250 only. Not available with LC-105.

Cloud 9 Black Cherry ..........................................................$50

Part: UPSBOLT8110001

Cloud 9 Pacic .....................................................................$50

Part: UPSBOLT8110002

Cloud 9 Stone ....................................................................... $50

Part: UPSBOLT8110004

Cloud 9 Walnut ..................................................................... $50

Part: UPSBOLT8110005

Lexis Sta-Kleen

Chestnut ................................................. $50

Part: UPSBOLT1584

Cloud 9 Black Cherry ..........................................................$50

Part: UPSLUMB00279

Cloud 9 Pacic .....................................................................$50

Part: UPSLUMB00276

Cloud 9 Stone ....................................................................... $50

Part: UPSLUMB00277

Cloud 9 Walnut ..................................................................... $50

Part: UPSLUMB00278

Lexis Sta-Kleen

Chestnut ................................................. $50

Part: UPSLUMB00195

Pride Mobility Essential Collection Owner's manual

Brand: Pride Mobility

Model: Essential Collection

Type: Owner's manual

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Pride Mobility Essential Collection Owner's manual

Pride Mobility Essential Collection Owner's manual

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