QBC Home Medical Supply
Organization Active NPI Community Based Hospice Care Agency · Melville, LA
NPI 1295937530 · NPPES record last updated Oct 18, 2007
Key facts
- NPI
- 1295937530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 1778583 (LA)
- Legal business name
- QBC HOME MEDICAL SUPPLY
- Practice address
- 509 Church Street
Melville, LA 71353 - Phone
- (337) 623-2353
- Fax
- (337) 623-2369
- NPI assigned
- May 31, 2007
- Organization subpart
- No
Authorized official
- Name
- Chanci Shermaine Shaw, MHA
- Title
- Program Director
- Phone
- (337) 623-2353
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 1778583 | LA | Yes |
Addresses
Primary practice location
509 Church Street
Melville, LA 71353
Mailing address
PO Box 617
Melville, LA 71353-0617
Phone (337) 623-2353
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1778583 | Medicaid | LA |
Other providers in Melville, LA
- Mary'S Heart Home Medical Supply
- Med Express Ambulance Service
- Terry N. Mengarelli
- Passions Medical Team
- QBC Home Medical Supply
- Six Angels Transportation LLC
All providers in Melville, LA · Community Based Hospice Care Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.