CCFR, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CCFR, LLC

Doing business as

Premier Wellness

Practice address

1001 W Pinhook Rd
Building #3, Suite 105B
Lafayette, LA 70503-2448

Phone

(877) 449-5089

Fax

(877) 335-5579

NPI assigned

Sep 28, 2010

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Richard, ATTORNEY-AT-LAW

Title

Owner

Phone

(337) 739-3483

Specialties & licenses 1

Addresses

Other names 1

• Premier Wellness Doing business as

Locations

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1962711879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W PINHOOK RD",
            "address_2": "BUILDING #3, SUITE 105B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032448",
            "telephone_number": "877-449-5089",
            "fax_number": "877-631-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PINHOOK RD",
            "address_2": "BUILDING #3, SUITE 105B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032448",
            "telephone_number": "877-449-5089",
            "fax_number": "877-335-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCFR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-739-3483",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATTORNEY-AT-LAW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lafayette, LA
• Providers in Lafayette, 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 Feb 3, 2014; 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.