Organization Active NPI

Pulmonary Homecare LLC

  • Durable Medical Equipment & Medical Supplies
  • Houma, LA
National Provider Identifier
1346341450
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PULMONARY HOMECARE LLC
Practice address
1301 Barataria Ave
Houma, LA 70360-5529
Phone
(985) 853-0082
Fax
(985) 853-0086
NPI assigned
Sep 25, 2006
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Mr. Tilman Joseph Luke Jr.
Title
Partner
Phone
(985) 853-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1301 Barataria Ave
Houma, LA 70360-5529

Mailing address

1301 Barataria Ave
Houma, LA 70360-5529
Phone (985) 853-0082

Other identifiers 1

IdentifierTypeStateIssuer
1681130MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057935 LA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4688794761 Practice locations: Houma, LA

National Provider Directory

National Provider Directory

Locations

1301 Barataria Ave
Houma, LA 70360
Phone (985) 853-0082

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1346341450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARATARIA AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605529",
            "telephone_number": "985-853-0082",
            "fax_number": "985-853-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARATARIA AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605529",
            "telephone_number": "985-853-0082",
            "fax_number": "985-853-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "TILMAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "985-853-0082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.