Organization Active NPI

Minden Homecare Equipment & Uniforms

  • Oxygen Equipment & Supplies (DME)
  • Minden, LA
National Provider Identifier
1093794273
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
06-0113638 Issued in LA
Legal business name
MINDEN HOMECARE EQUIPMENT & UNIFORMS
Practice address
106 Ryans Way
Minden, LA 71055-4230
Phone
(318) 382-8500
Fax
(318) 382-9010
NPI assigned
Jan 16, 2006
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Robn Fish, CRTT
Title
Owner
Phone
(318) 382-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 06-0113638 LA Primary

Addresses

Primary practice location

106 Ryans Way
Minden, LA 71055-4230

Mailing address

106 Ryans Way
Minden, LA 71055-4230
Phone (318) 382-8500

Other identifiers 2

IdentifierTypeStateIssuer
F1162OtherLABLUE CROSS OF LA
1546500MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930024395 LA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5799806246 Practice locations: Minden, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Minden Homecare Equipment & Uniform106 Ryans Way, Minden, LA 71055-4230(318) 382-8500 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (E… Does not accept assignmentParticipating since Jan 18, 1999

National Provider Directory

National Provider Directory
Tax ID family
Minden Homecare Equipment Uniforms LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

106 Ryans Way
Minden, LA 71055
Phone (318) 382-8500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1093794273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 RYANS WAY",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710554230",
            "telephone_number": "318-382-8500",
            "fax_number": "318-382-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 RYANS WAY",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710554230",
            "telephone_number": "318-382-8500",
            "fax_number": "318-382-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDEN HOMECARE EQUIPMENT & UNIFORMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "ROBN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-382-8500",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "06-0113638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LA",
            "identifier": "F1162",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1546500",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.