Organization Active NPI

Breath of Life Home Heath Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Lafayette, LA
National Provider Identifier
1528095577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
L00723 Issued in LA
Legal business name
BREATH OF LIFE HOME HEATH EQUIPMENT, INC
Practice address
101 Energy Parkway
Suite C
Lafayette, LA 70508
Phone
(337) 269-9644
Fax
(337) 269-9667
NPI assigned
Jun 26, 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
Mr. John Kent Whipp, RRT
Title
President
Phone
(337) 269-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X L00723 LA Primary

Addresses

Primary practice location

101 Energy Parkway
Suite C
Lafayette, LA 70508

Mailing address

101 Energy Pkwy
Suite C
Lafayette, LA 70598
Phone (337) 269-9644

Other identifiers 2

IdentifierTypeStateIssuer
1980102MedicaidLA
C2615OtherLABLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Breath of Life Home Health Equipment Inc2 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.

Locations

101 Energy Pkwy
Ste C
Lafayette, LA 70508
Phone (337) 269-9644

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528095577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ENERGY PKWY",
            "address_2": "SUITE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70598",
            "telephone_number": "337-269-9644",
            "fax_number": "337-269-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ENERGY PARKWAY",
            "address_2": "SUITE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-269-9644",
            "fax_number": "337-269-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE HOME HEATH EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHIPP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-269-9644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "L00723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980102",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C2615",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, 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.