Active NPI
Lifecare Medical, Inc
- Oxygen Equipment & Supplies (DME)
- Hammond, LA
National Provider Identifier
1720164288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- LIFECARE MEDICAL, INC
- Practice address
- 42014 Veterans Ave
Hammond, LA 70403-1408 - Phone
- (985) 542-4343
- Fax
- (985) 543-0254
- NPI assigned
- Oct 27, 2006
- 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
- Mr. Brian C Depaula
- Title
- Owner/Manager
- Phone
- (985) 542-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
42014 Veterans Ave
Hammond, LA 70403-1408
Mailing address
42014 Veterans Ave
Hammond, LA 70403-1408
Phone (985) 542-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1339041 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720164288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42014 VETERANS AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031408",
"telephone_number": "985-542-4343",
"fax_number": "985-543-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42014 VETERANS AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031408",
"telephone_number": "985-542-4343",
"fax_number": "985-543-0254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE MEDICAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEPAULA",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "985-542-4343",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1339041",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.