Active NPI
Medcare LLC
- Durable Medical Equipment & Medical Supplies
- Gonzales, LA
National Provider Identifier
1356525414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDCARE LLC
- Practice address
- 908 West Orice Roth Road
Gonzales, LA 70737-3006 - Phone
- (225) 647-3500
- Fax
- (225) 644-1234
- NPI assigned
- Dec 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ray Talley
- Title
- Member
- Phone
- (225) 647-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | LA | Primary |
Addresses
Primary practice location
908 West Orice Roth Road
Gonzales, LA 70737-3006
Mailing address
908 West Orice Roth Road
Gonzales, LA 70737-3006
Phone (225) 647-3500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300408731 | Other | LA | BLUE CROSS BLUE SHIELD |
| 300408731 | Other | LA | HUMANA |
| 1672939 | Medicaid | LA | |
| 286286 | Other | LA | WELLCARE |
| 1779001 | Other | TX | MEDICAID |
National Provider Directory
National Provider DirectoryLocations
908 W Orice Roth Rd
Gonzales, LA 70737
Phone (225) 647-3500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356525414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 WEST ORICE ROTH ROAD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373006",
"telephone_number": "225-647-3500",
"fax_number": "225-644-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 WEST ORICE ROTH ROAD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373006",
"telephone_number": "225-647-3500",
"fax_number": "225-644-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "TALLEY",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "225-647-3500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "300408731",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "300408731",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1672939",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "286286",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1779001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.