Organization Active NPI

Golden Medical Equipment&Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1447218680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOLDEN MEDICAL EQUIPMENT&SUPPLY, INC.
Practice address
2708 Wooddale Blvd
Suitea, Room1
Baton Rouge, LA 70805-7541
Phone
(225) 925-2733
Fax
(225) 925-2734
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Imeh A Ebere
Title
Director/Owner
Phone
(225) 925-2733

Specialties & licenses 1

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

Addresses

Primary practice location

2708 Wooddale Blvd
Suitea, Room1
Baton Rouge, LA 70805-7541

Mailing address

2708 Wooddale Blvd
Suitea, Room1
Baton Rouge, LA 70805-7541
Phone (225) 925-2733

Other identifiers 1

IdentifierTypeStateIssuer
1156523MedicaidLA

National Provider Directory

National Provider Directory

Locations

2708 Wooddale Blvd
Ste A
Baton Rouge, LA 70805
Phone (225) 925-2733

2708 Wooddale Blvd
Rm 1
Baton Rouge, LA 70805
Phone (225) 925-2733

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447218680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 WOODDALE BLVD",
            "address_2": "SUITEA, ROOM1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057541",
            "telephone_number": "225-925-2733",
            "fax_number": "225-925-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 WOODDALE BLVD",
            "address_2": "SUITEA, ROOM1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057541",
            "telephone_number": "225-925-2733",
            "fax_number": "225-925-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MEDICAL EQUIPMENT&SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EBERE",
        "authorized_official_first_name": "IMEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "225-925-2733",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "1156523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.