Revive Respiratory and DME LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

LT3525 Issued in LA

Legal business name

REVIVE RESPIRATORY AND DME LLC

Doing business as

Revive Respiratory and DME LLC

Practice address

9591 Wallace Lake Rd
Shreveport, LA 71106-7535

Phone

(318) 687-8813

Fax

(318) 687-8813

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Vera Mitchell Ware, RRTNPI 1841501467

Title

Owner/Manager

Phone

(318) 687-8813

Specialties & licenses 1

Addresses

Other names 1

• Revive Respiratory and DME LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vera Mitchell Ware, RRT

  • Home Health Registered Respiratory Therapist
  • Shreveport, LA
  • NPI 1841501467
  NPD (past) Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1710290622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9591 WALLACE LAKE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067535",
            "telephone_number": "318-687-8813",
            "fax_number": "318-687-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9591 WALLACE LAKE RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067535",
            "telephone_number": "318-687-8813",
            "fax_number": "318-687-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RESPIRATORY AND DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-687-8813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "LT3525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revive Respiratory and DME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.