Organization Active NPI

Performance Home Medical Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • New Roads, LA
National Provider Identifier
1821010828
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PERFORMANCE HOME MEDICAL EQUIPMENT, LLC
Practice address
2312 False River Dr
Suite B
New Roads, LA 70760-2508
Phone
(225) 638-4644
Fax
(225) 638-4645
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mrs. Courtney Jewell Gremillion
Title
Owner
Phone
22566384644

Specialties & licenses 1

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

Addresses

Primary practice location

2312 False River Dr
Suite B
New Roads, LA 70760-2508

Mailing address

PO Box 929
New Roads, LA 70760-0929
Phone (225) 638-4644

Other identifiers 1

IdentifierTypeStateIssuer
1723355MedicaidLA

National Provider Directory

National Provider Directory

Locations

2312 False River Dr
Ste B
New Roads, LA 70760
Phone (225) 638-4644

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1821010828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707600929",
            "telephone_number": "225-638-4644",
            "fax_number": "225-638-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 FALSE RIVER DR",
            "address_2": "SUITE B",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602508",
            "telephone_number": "225-638-4644",
            "fax_number": "225-638-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HOME MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "GREMILLION",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "JEWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "22566384644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1723355",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.