Organization Active NPI

D & M Home Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Thibodaux, LA
National Provider Identifier
1235189929
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
D & M HOME MEDICAL, LLC
Practice address
1713 Canal Blvd
Thibodaux, LA 70301-5224
Phone
(985) 447-9597
Fax
(985) 447-9588
NPI assigned
May 11, 2006
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Ms. Stephanie Anne McCollum
Title
Owner/President
Phone
(985) 447-9597

Specialties & licenses 1

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

Addresses

Primary practice location

1713 Canal Blvd
Thibodaux, LA 70301-5224

Mailing address

PO Box 785
Thibodaux, LA 70302-0785
Phone (985) 447-9597

Other identifiers 1

IdentifierTypeStateIssuer
1353493MedicaidLA

National Provider Directory

National Provider Directory

Locations

1713 Canal Blvd
Thibodaux, LA 70301
Phone (985) 447-9597

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1235189929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020785",
            "telephone_number": "985-447-9597",
            "fax_number": "985-447-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015224",
            "telephone_number": "985-447-9597",
            "fax_number": "985-447-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & M HOME MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "985-447-9597",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1353493",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.