Complete Patient Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

89101288 Issued in LA

Legal business name

COMPLETE PATIENT SERVICES LLC

Practice address

70161 Highway 59
Suite C
Abita Springs, LA 70420-3706

Phone

(985) 892-7775

Fax

(985) 892-4230

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra G Stoudenmire

Title

Owner

Phone

(251) 460-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302307200000",
    "number": "1295941243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70161 HIGHWAY 59",
            "address_2": "SUITE C",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203706",
            "telephone_number": "985-892-7775",
            "fax_number": "985-892-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70161 HIGHWAY 59",
            "address_2": "SUITE C",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704203706",
            "telephone_number": "985-892-7775",
            "fax_number": "985-892-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-04-09",
        "status": "A",
        "authorized_official_last_name": "STOUDENMIRE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-460-0300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "89101288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; 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.