MEDICARE: RESPIRATORY CARE RESOURCES L.L.C.

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	332BX2000X	Oxygen Equipment & Supplies (DME)	0132332-001	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215906144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESPIRATORY CARE RESOURCES L.L.C.

Provider Business Mailing Address
First Line	:	727 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-4242
Country	:	US
Telephone Number	:	337-430-0802
Fax Number	:	337-430-0818

Provider Business Practice Location Address
First Line	:	727 RYAN ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-4242
Country	:	US
Telephone Number	:	337-430-0802
Fax Number	:	337-430-0818

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MR. DARREN CHARLES DOHERTY
Credential	:	RRT
Telephone Number	:	337-430-0802

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/22/2020

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