Organization Active NPI

Care Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Broussard, LA
National Provider Identifier
1851708812
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DME.000546 Issued in LA
Legal business name
CARE MEDICAL, LLC
Practice address
202 W Fairfield Dr
Broussard, LA 70518-5130
Phone
(337) 277-0746
Fax
(337) 330-2223
NPI assigned
Jul 22, 2014
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Tammy Marie RichertNPI 1578978664
Title
Owner
Phone
(337) 277-0746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DME.000546 LA Primary

Addresses

Primary practice location

202 W Fairfield Dr
Broussard, LA 70518-5130

Mailing address

202 W Fairfield Dr
Broussard, LA 70518-5130
Phone (337) 277-0746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520000784 LA DME Supplier - Medical Supply Company With Respiratory Therapist 3375863038 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

2896 N Highway 171
Ste D
Lake Charles, LA 70611
Phone (337) 905-1351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1851708812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W FAIRFIELD DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185130",
            "telephone_number": "337-277-0746",
            "fax_number": "337-330-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W FAIRFIELD DR",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185130",
            "telephone_number": "337-277-0746",
            "fax_number": "337-330-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-277-0746"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "DME.000546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.