Organization Active NPI

IV Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Gretna, LA
National Provider Identifier
1134313596
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3256IR Issued in LA
Legal business name
IV SERVICES LLC
Practice address
1581 Carol Sue Ave
Suite E
Gretna, LA 70056-5100
Phone
(504) 392-0973
Fax
(504) 392-0973
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Paulette Beninate, RPH
Title
Owner
Phone
(504) 394-9037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3256IR LA Primary

Addresses

Primary practice location

1581 Carol Sue Ave
Suite E
Gretna, LA 70056-5100

Mailing address

1581 Carol Sue Ave
Suite E
Gretna, LA 70056-5100
Phone (504) 394-9037

Other identifiers 1

IdentifierTypeStateIssuer
2201123MedicaidLA

Other names 1

  • IV SERVICES Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Infusion Plus2 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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1134313596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 CAROL SUE AVE",
            "address_2": "SUITE E",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565100",
            "telephone_number": "504-394-9037",
            "fax_number": "504-392-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 CAROL SUE AVE",
            "address_2": "SUITE E",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565100",
            "telephone_number": "504-392-0973",
            "fax_number": "504-392-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "BENINATE",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-394-9037",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "3256IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2201123",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IV SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.