Sunstate Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUNSTATE MEDICAL SUPPLIES, INC.

Practice address

10632 Hillary CT
Baton Rouge, LA 70810-2842

Phone

(225) 769-7960

Fax

(225) 769-6528

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By 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. Douglas M. Walsh

Title

Secretary

Phone

(225) 769-7960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578688123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 HILLARY CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102842",
            "telephone_number": "225-769-7960",
            "fax_number": "225-769-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 HILLARY CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102842",
            "telephone_number": "225-769-7960",
            "fax_number": "225-769-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTATE MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "225-769-7960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532711",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sunshine Employee Assistance Program
• Sunshine Net LLC
• Superior Brocage Holdings LLC
• Superior Healthcare of Louisiana
• Superior Home Health Care Inc
• Superior Surgical Associates LLC
• Superior Van & Mobility, LLC

• Durable Medical Equipment & Medical Supplies in Baton Rouge, LA
• Providers in Baton Rouge, 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 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.