Crescent Durable Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CRESCENT DURABLE MEDICAL EQUIPMENT, LLC

Practice address

8301 W Judge Perez Dr
Suite 200
Chalmette, LA 70043-1657

Phone

(504) 277-2995

Fax

(504) 279-1474

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Williams Gengo

Title

Owner

Phone

(504) 277-2995

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1518409663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 W JUDGE PEREZ DR",
            "address_2": "SUITE 200",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431657",
            "telephone_number": "504-277-2995",
            "fax_number": "504-279-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 W JUDGE PEREZ DR",
            "address_2": "SUITE 200",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431657",
            "telephone_number": "504-277-2995",
            "fax_number": "504-279-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "GENGO",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-277-2995",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chalmette, LA
• Providers in Chalmette, 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 Nov 7, 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.