Magnolia Respiratory & Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

320011100 Issued in LA

Legal business name

MAGNOLIA RESPIRATORY & MEDICAL EQUIPMENT LLC

Practice address

235 Florida Ave. SE
Denham Springs, LA 70726-3728

Phone

(225) 664-2119

Fax

(225) 664-2519

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leslie S Smith Sr.

Title

President

Phone

(225) 664-2119

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1003900341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 FLORIDA AVE. SE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263728",
            "telephone_number": "225-664-2119",
            "fax_number": "225-664-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 FLORIDA AVE. SE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707263728",
            "telephone_number": "225-664-2119",
            "fax_number": "225-664-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA RESPIRATORY & MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-664-2119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "320011100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essie B Mack, M.T.
• Keith R Mack, M.D.
• Melissa Magee, RPH
• Jamie Alexandra Maggio
• Magnolia ABA Services LLC
• Tonya Maher, RN
• Sharonda Miles Major
• Mandys Primary Healthcare LLC
• Kristin King Manuel, FNP-C, APRN
• Mary Alice Many, L.P.C., L.M.F.T.

• Oxygen Equipment & Supplies (DME) in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.