Organization Active NPI

Southern DME, LLC

  • Health Maintenance Organization
  • Denham Springs, LA
National Provider Identifier
1487956611
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SOUTHERN DME, LLC
Practice address
8140 Tranquility Cir
Denham Springs, LA 70706-2038
Phone
(225) 667-3685
Fax
(225) 664-2578
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Mr. Steve Kyle Savarese
Title
President
Phone
(225) 667-3685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

8140 Tranquility Cir
Denham Springs, LA 70706-2038

Mailing address

8140 Tranquility Cir
Denham Springs, LA 70706-2038
Phone (225) 667-3685

National Provider Directory

National Provider Directory
Tax ID family
Southern DME Co LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1487956611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 TRANQUILITY CIR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707062038",
            "telephone_number": "225-667-3685",
            "fax_number": "225-664-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 TRANQUILITY CIR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707062038",
            "telephone_number": "225-667-3685",
            "fax_number": "225-664-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "SAVARESE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-667-3685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.