West la Ventures LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WEST LA VENTURES LLC

Practice address

8422 Kurthwood Rd
Leesville, LA 71446-2200

Phone

(337) 239-6578

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Burron Boulware

Title

Owner

Phone

(337) 239-6578

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1326261454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13524",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153524",
            "telephone_number": "318-445-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8422 KURTHWOOD RD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462200",
            "telephone_number": "337-239-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LA VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "BURRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-239-6578",
        "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": "1523577",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Leesville, LA
• Providers in Leesville, 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 Jun 19, 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.