Organization Active NPI

Northstar,TLC Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oak Grove, LA
National Provider Identifier
1669529111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHSTAR,TLC INC.
Practice address
212 E. Jefferson
Oakgrove, LA 71263
Phone
(318) 428-2310
Fax
(318) 428-3424
NPI assigned
Jan 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Teresa Fourroux
Title
President
Phone
(318) 428-2310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LA Primary

Addresses

Primary practice location

212 E. Jefferson
Oakgrove, LA 71263

Mailing address

P.O.Box 1163
Oakgrove, LA 71263
Phone (318) 428-2310

Other identifiers 1

IdentifierTypeStateIssuer
1681377MedicaidLA

National Provider Directory

National Provider Directory

Locations

212 E Jefferson St
Oak Grove, LA 71263
Phone (318) 428-2310

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669529111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 1163",
            "city": "OAKGROVE",
            "state": "LA",
            "postal_code": "71263",
            "telephone_number": "318-428-2310",
            "fax_number": "318-428-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E. JEFFERSON",
            "city": "OAKGROVE",
            "state": "LA",
            "postal_code": "71263",
            "telephone_number": "318-428-2310",
            "fax_number": "318-428-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR,TLC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOURROUX",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-428-2310"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.