MEDICARE: BEST BUY HOMECARE OF LOUISIANA, INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	228220	OTHER	HEALTHLINK
2	81716	OTHER	NORTHWOOD (NPN)
3	106481	OTHER	BLUE CROSS BLUE SHIELD
4	82-05005	OTHER	UNITED HEALTHCARE
5	V0168	OTHER	HOMELINK

General Provider Information

NPI Number	:	1225037237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST BUY HOMECARE OF LOUISIANA, INC

Provider Business Mailing Address
First Line	:	100 E TEXAS AVE
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-1554
Country	:	US
Telephone Number	:	573-499-1779
Fax Number	:	573-443-6936

Provider Business Practice Location Address
First Line	:	100 E TEXAS AVE
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65202-1554
Country	:	US
Telephone Number	:	573-499-1779
Fax Number	:	573-443-6936

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	PAUL S MCKENNA
Credential	:
Telephone Number	:	573-754-4527

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/22/2020

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