Active NPI
Northstar,TLC Inc.
- Durable Medical Equipment & Medical Supplies
- Oak Grove, LA
National Provider Identifier
1669529111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2022
- 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
- Teresa Fourroux
- Title
- President
- Phone
- (318) 428-2310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1681377 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.