NPIMap

Organization Active NPI

QBC Home Medical Supply

  • Community Based Hospice Care Agency
  • Melville, LA
National Provider Identifier
1295937530
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1778583 Issued in 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
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Chanci Shermaine Shaw, MHA
Title
Program Director
Phone
(337) 623-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 1778583 LA Primary

Addresses

Primary practice location

509 Church Street
Melville, LA 71353

Mailing address

PO Box 617
Melville, LA 71353-0617
Phone (337) 623-2353

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1295937530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "MELVILLE",
            "state": "LA",
            "postal_code": "713530617",
            "telephone_number": "337-623-2353",
            "fax_number": "337-623-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 CHURCH STREET",
            "city": "MELVILLE",
            "state": "LA",
            "postal_code": "71353",
            "telephone_number": "337-623-2353",
            "fax_number": "337-623-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QBC HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHANCI",
        "authorized_official_middle_name": "SHERMAINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "337-623-2353",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "1778583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.