NPIMap

Organization Active NPI

Management Services of Beauregard Parish, Inc.

Doing business as Management Services of Beauregard

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Many, LA
National Provider Identifier
1013013952
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC.
Doing business as
Management Services of Beauregard
Practice address
965 Fisher Rd
Many, LA 71449-3819
Phone
(318) 590-0007
Fax
(318) 590-1711
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Jack H Sanders
Title
Managing Director
Phone
(318) 590-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

965 Fisher Rd
Many, LA 71449-3819

Mailing address

965 Fisher Rd
Many, LA 71449-3819
Phone (318) 590-0007

Other identifiers 1

IdentifierTypeStateIssuer
1961124MedicaidLA

Other names 1

  • MANAGEMENT SERVICES OF BEAUREGARD Doing business as

National Provider Directory

National Provider Directory

Member of 7

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1013013952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 FISHER RD",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493819",
            "telephone_number": "318-590-0007",
            "fax_number": "318-590-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 FISHER RD",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493819",
            "telephone_number": "318-590-0007",
            "fax_number": "318-590-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "318-590-0007"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961124",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANAGEMENT SERVICES OF BEAUREGARD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.