MEDICARE: OCHSNER HOME MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1942503180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER HOME MEDICAL EQUIPMENT, LLC

Provider Business Mailing Address
First Line	:	1601 JEFFERSON HWY
Second Line	:	SUITE A
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2430
Country	:	US
Telephone Number	:	504-842-5531
Fax Number	:	504-842-5460

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	:	DME MANAGING EMPLOYEE
Name	:	MR. DAVID M GAINES
Credential	:
Telephone Number	:	504-842-4311

Provider Enumeration Date	:	12/09/2010
Last Update Date	:	12/02/2011

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