Bayouside DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAYOUSIDE DME LLC

Practice address

7717 Main St
Houma, LA 70360-4496

Phone

(985) 713-1456

Fax

(888) 765-1319

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Elinus Paul Noel Jr.

Title

Co Owner

Phone

(985) 713-1456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1447607502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604496",
            "telephone_number": "985-713-1456",
            "fax_number": "888-765-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7717 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604496",
            "telephone_number": "985-713-1456",
            "fax_number": "888-765-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOUSIDE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "ELINUS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "985-713-1456",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Houma, LA
• Providers in Houma, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.