Active NPI
IV Services LLC
- Durable Medical Equipment & Medical Supplies
- Gretna, LA
National Provider Identifier
1134313596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3256IR
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2201123 | Medicaid | LA |
Other names 1
- IV SERVICES
National Provider Directory
National Provider Directory- Tax ID family
- Infusion Plus
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Gretna, LA
- NPI 1518434489
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.