Healthcare Provider Details
I. General information
NPI: 1942503180
Provider Name (Legal Business Name): OCHSNER HOME MEDICAL EQUIPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2010
Last Update Date: 12/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3211 N CAUSEWAY BLVD
METAIRIE LA
70002-4800
US
IV. Provider business mailing address
1601 JEFFERSON HWY SUITE A
NEW ORLEANS LA
70121-2430
US
V. Phone/Fax
- Phone: 504-834-8114
- Fax: 504-834-8113
- Phone: 504-842-5531
- Fax: 504-842-5460
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
M
GAINES
Title or Position: DME MANAGING EMPLOYEE
Credential:
Phone: 504-842-4311