Organization Active NPI

Morning Star Medical

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1093325854
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MORNING STAR MEDICAL
Practice address
456 W 61St St
Shreveport, LA 71106-2511
Phone
(318) 347-6402
NPI assigned
Aug 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Charles Slack
Title
Owner
Phone
(318) 347-6402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

456 W 61St St
Shreveport, LA 71106-2511

Mailing address

456 W 61St St
Shreveport, LA 71106-2511
Phone (318) 347-6402

National Provider Directory

National Provider Directory

Locations

456 W 61st St
Shreveport, LA 71106
Phone (318) 347-6402

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1093325854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W 61ST ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062511",
            "telephone_number": "318-347-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W 61ST ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711062511",
            "telephone_number": "318-347-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-347-6402"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.