Active NPI
Home Medical Rental, Inc.
Doing business as Home Medical Supply
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
National Provider Identifier
1649418625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HOME MEDICAL RENTAL, INC.
- Doing business as
- Home Medical Supply
- Practice address
- 1204 Shreveport Barksdale Hwy
Shreveport, LA 71105-2406 - Phone
- (318) 226-4663
- Fax
- (318) 222-6019
- NPI assigned
- Jan 28, 2009
- Last updated
- Mar 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary E Jones
- Title
- Chief Financial Officer
- Phone
- (318) 226-4663
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU |
Addresses
Primary practice location
1204 Shreveport Barksdale Hwy
Shreveport, LA 71105-2406
Mailing address
1204 Shreveport Barksdale Hwy
Shreveport, LA 71105-2406
Phone (318) 226-4663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1320307 | Medicaid | LA |
Other names 1
- Home Medical Supply
National Provider Directory
National Provider Directory- Tax ID family
- Home Medical Rental Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Home Medical Supply
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1851490239
Locations
1204 Shreveport Barksdale Hwy
Shreveport, LA 71105
Phone (318) 226-4663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237161600000",
"number": "1649418625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 SHREVEPORT BARKSDALE HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052406",
"telephone_number": "318-226-4663",
"fax_number": "318-222-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 SHREVEPORT BARKSDALE HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711052406",
"telephone_number": "318-226-4663",
"fax_number": "318-222-6019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME MEDICAL RENTAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-28",
"last_updated": "2009-03-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "318-226-4663"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1320307",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Shreveport, LA
- Holy Angels Residential Facility (Wenzel Home)
- Holy Angels Residential Facility (Edna Marie)
- Michael A Holy, M.D.
- Home Assistance Services
- Home Assistance Services
- Home Medical Rental, Inc. (Home Medical Supply)
- Home Physicians Services, LLC
- Home Sleep Testing of Louisiana
- Wayne Homza, MD
- Tiffany Honeycutt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.