Swamp Elite Retreat Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SWAMP ELITE RETREAT INC

Practice address

46424 Rufus Bankston Rd Ste 100
Hammond, LA 70401-6108

Phone

(985) 467-0888

NPI assigned

Apr 6, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Trina Haynes

Title

Director

Phone

(985) 467-0888

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1295298321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704540631",
            "telephone_number": "985-467-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46424 RUFUS BANKSTON RD STE 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704016108",
            "telephone_number": "985-467-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAMP ELITE RETREAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-467-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "swampeliteretreat@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Primary Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "46424 Rufus Bankston Rd",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704016108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hammond, LA
• Providers in Hammond, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.