Active NPI
Evangeline Medical & Nursing Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Lafayette, LA
National Provider Identifier
1144379496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2700326001
- Legal business name
- EVANGELINE MEDICAL & NURSING SUPPLY, INC.
- Practice address
- 2865 Ambassador Caffery Pkwy
Suite 107
Lafayette, LA 70506-5944 - Phone
- (337) 981-0828
- NPI assigned
- Jan 9, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Brett David McElwee, RN
- Title
- Co Owner
- Phone
- (337) 363-3638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2700326001 | LA | Primary |
Addresses
Primary practice location
2865 Ambassador Caffery Pkwy
Suite 107
Lafayette, LA 70506-5944
Mailing address
2865 Ambassador Caffery Pkwy
Suite 107
Lafayette, LA 70506-5944
Phone (337) 981-0828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1628107 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Evangeline Medical Nursing Supply Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Oakdale, LA
- NPI 1245388610
-
- Durable Medical Equipment & Medical Supplies
- Ville Platte, LA
- NPI 1639235054
Locations
2865 Ambassador Caffery Pkwy
Ste 107
Lafayette, LA 70506
Phone (337) 981-0828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144379496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE 107",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065944",
"telephone_number": "337-981-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 AMBASSADOR CAFFERY PKWY",
"address_2": "SUITE 107",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065944",
"telephone_number": "337-981-0828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANGELINE MEDICAL & NURSING SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCELWEE",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CO OWNER",
"authorized_official_telephone_number": "337-363-3638",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": "2700326001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1628107",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.