Organization Active NPI

QBC Home Medical Supply

  • Community Based Hospice Care Agency
  • Carencro, LA
National Provider Identifier
1689875262
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
QBC HOME MEDICAL SUPPLY
Practice address
3551 Northwest Evangeline Thrwy
Carencro, LA 70520
Phone
(337) 896-2314
Fax
(337) 896-2319
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Quinton Domonick Oliphant
Title
Executive Director
Phone
(337) 896-2314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3551 Northwest Evangeline Thrwy
Carencro, LA 70520

Mailing address

PO Box 190
Carencro, LA 70520-0190
Phone (337) 896-2314

Other identifiers 1

IdentifierTypeStateIssuer
1622508MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
QBC Home Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1689875262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705200190",
            "telephone_number": "337-896-2314",
            "fax_number": "337-896-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 NORTHWEST EVANGELINE THRWY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "70520",
            "telephone_number": "337-896-2314",
            "fax_number": "337-896-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QBC HOME MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "OLIPHANT",
        "authorized_official_first_name": "QUINTON",
        "authorized_official_middle_name": "DOMONICK",
        "authorized_official_title_or_position": "EXECUTIVE  DIRECTOR",
        "authorized_official_telephone_number": "337-896-2314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622508",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.