Organization Active NPI

Lifequest LLC

  • Durable Medical Equipment & Medical Supplies
  • Benton, LA
National Provider Identifier
1275618035
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LIFEQUEST LLC
Practice address
4719 Palmetto Rd
Benton, LA 71006-9712
Phone
(318) 965-2740
Fax
(318) 965-0769
NPI assigned
Oct 27, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Saeed Rohani
Title
Owner
Phone
(318) 798-6540

Specialties & licenses 1

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

Addresses

Primary practice location

4719 Palmetto Rd
Benton, LA 71006-9712

Mailing address

4719 Palmetto Rd
Benton, LA 71006-9712
Phone (318) 965-2740

Other identifiers 1

IdentifierTypeStateIssuer
1628905MedicaidLA

National Provider Directory

National Provider Directory

Locations

4719 Palmetto Rd
Benton, LA 71006
Phone (318) 965-2740

2038 Line Ave
Shreveport, LA 71104
Phone (318) 429-8098

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1275618035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 PALMETTO RD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710069712",
            "telephone_number": "318-965-2740",
            "fax_number": "318-965-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 PALMETTO RD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710069712",
            "telephone_number": "318-965-2740",
            "fax_number": "318-965-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ROHANI",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-798-6540",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "1628905",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.