Active NPI
Performance Home Medical Equipment, LLC
- Durable Medical Equipment & Medical Supplies
- New Roads, LA
National Provider Identifier
1821010828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1723355 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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
- Jeffery Parker
- Andrew Michael Parks, M.D.
- Anna Fortunato Payne, PTA
- Quentin Payne
- Pediatric Group of Acadiana, LLC (Oxbow Family Practice)
- Jason Joseph Picard, M.D.
- Pointe Coupee Better Access Community Healthcare (Bach)
- Pointe Coupee Community Care
- Pointe Coupee Community Care
- Pointe Coupee Community Care
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.