Fantastic Healthcare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4542817-001 Issued in LA

Legal business name

FANTASTIC HEALTHCARE LLC

Practice address

16500 Chef Menteur Hwy.
New Orleans, LA 70129-2432

Phone

(504) 254-2924

Fax

(504) 254-2925

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Gabriel I. Ekechekwu

Title

President

Phone

(504) 254-2924

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1952467946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 CHEF MENTEUR HWY.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70129",
            "telephone_number": "504-254-2924",
            "fax_number": "504-254-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 CHEF MENTEUR HWY.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292432",
            "telephone_number": "504-254-2924",
            "fax_number": "504-254-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANTASTIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "EKECHEKWU",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-254-2924"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "4542817-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621331",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Fandrich, PHYSICAL THERAPIST
• Yuan Fang, MD
• Fannie C Williams Charter School
• John Truman Fanning, PH.D
• Sarah F Fant, PA-C
• Farere Dyer, M.D., Apmc
• Charit Ann Fares, M.D.
• Hassan A Fares, M.D.
• Ashley Stevens Farge, M.D.
• Justin John Farge, MD

• Durable Medical Equipment & Medical Supplies in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.