Roadrunner Ability Access, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROADRUNNER ABILITY ACCESS, LLC

Practice address

104 Bayou Bend Dr
Sulphur, LA 70663-4010

Phone

(337) 287-7802

Fax

(337) 476-2827

NPI assigned

Mar 20, 2023

Last updated

May 10, 2023By 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. Russell Benevage

Title

President

Phone

(337) 287-7802

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1578265252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706641627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BAYOU BEND DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634010",
            "telephone_number": "337-287-7802",
            "fax_number": "337-476-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER ABILITY ACCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BENEVAGE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-287-7802",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• Roger Glen Grimball Jr. D.D.S. LLC (Grimball Pediatric Dentistry)
• Russell K Benevage (Allied Medical Equipment Repair & Services)

• Durable Medical Equipment & Medical Supplies in Sulphur, LA
• Providers in Sulphur, 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 10, 2023; 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.