Active NPI
Health Mart Medical of Lafayette, L.L.C.
- Oxygen Equipment & Supplies (DME)
- Jennings, LA
National Provider Identifier
1376823716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- DME.000155
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.