MEDICARE: HEALTHCARE DEVELOPMENT GROUP, 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	332B00000X	Durable Medical Equipment & Medical Supplies

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	:	1760488134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE DEVELOPMENT GROUP, LLC

Provider Business Mailing Address
First Line	:	3211 N CAUSEWAY BLVD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4800
Country	:	US
Telephone Number	:	504-834-8114
Fax Number	:	504-834-8113

Provider Business Practice Location Address
First Line	:	3211 N CAUSEWAY BLVD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4800
Country	:	US
Telephone Number	:	504-834-8114
Fax Number	:	504-834-8113

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. JEFFREY STUART FRIEDMAN
Credential	:
Telephone Number	:	504-834-8114

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	08/22/2020

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