Louisiana Home Medical Supply, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

LOUISIANA HOME MEDICAL SUPPLY, LLC

Practice address

17943 Highway 432
Clinton, LA 70722-4027

Phone

(225) 683-4878

Fax

(225) 683-4869

NPI assigned

Feb 20, 2007

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Fulton Devall

Title

Owner

Phone

(225) 683-4878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1447395256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 8189",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "707221189",
            "telephone_number": "225-683-4878",
            "fax_number": "225-683-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17943 HIGHWAY 432",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707224027",
            "telephone_number": "225-683-4878",
            "fax_number": "225-683-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HOME MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DEVALL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "FULTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-683-4878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Leach, DDS
• Jamie L Lebourgeois, LCSW
• Torri B Lee, M.S., CCC-SLP
• Wendi Anne Lemoine, LCSW
• Elandra Leah Levinstone, LCSW
• Erin Kay Loup, LMSW
• Tiffini Lundy, FNP
• Jesse Tyler Mack, LPC
• Nicholas Glen Maggio
• Tija Lavine Major, FNP

• Customized Equipment (DME) in Clinton, LA
• Providers in Clinton, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.