MEDICARE: HEALTHVAC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1073703138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHVAC LLC

Provider Business Mailing Address
First Line	:	9582 MAMMOTH AVE
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-4109
Country	:	US
Telephone Number	:	225-270-2925
Fax Number	:	225-924-0249

Provider Business Practice Location Address
First Line	:	9582 MAMMOTH AVE
Second Line	:	SUITE C
City	:	BATON ROUGE
State	:	LA
Zip	:	70814-4109
Country	:	US
Telephone Number	:	225-270-2925
Fax Number	:	225-924-0249

Authorized Official
Title or Position	:	OWNER/VICE PRESIDENT
Name	:	MR. MARK L. SCHEXNAYDER
Credential	:	PD
Telephone Number	:	225-270-2925

Provider Enumeration Date	:	07/25/2007
Last Update Date	:	07/26/2007

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