Organization Active NPI

Health Mart Medical of Lafayette, L.L.C.

  • Oxygen Equipment & Supplies (DME)
  • Jennings, LA
National Provider Identifier
1376823716
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
DME.000155 Issued in LA
Legal business name
HEALTH MART MEDICAL OF LAFAYETTE, L.L.C.
Practice address
1322 Elton Rd
Ste a
Jennings, LA 70546-4100
Phone
(337) 523-1851
Fax
(337) 824-2057
NPI assigned
Aug 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Wesley James David, RPH
Title
Owner
Phone
(337) 523-1851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X DME.000155 LA
Oxygen Equipment & Supplies (DME) 332BX2000X DME.000155 LA Primary

Addresses

Primary practice location

1322 Elton Rd
Ste a
Jennings, LA 70546-4100

Mailing address

1322 Elton Rd
Ste a
Jennings, LA 70546-4100
Phone (337) 523-1851

Other names 1

  • Health Mart Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1322 Elton Rd
Ste A
Jennings, LA 70546
Phone (337) 616-9500

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1376823716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "STE A",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-523-1851",
            "fax_number": "337-824-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD",
            "address_2": "STE A",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-523-1851",
            "fax_number": "337-824-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MART MEDICAL OF LAFAYETTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-523-1851",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "LA",
            "license": "DME.000155",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "DME.000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Mart Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.