ODELL LLC (NPI# 1205873122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205873122 |
| Entity Type | Organization |
| Organization Name | ODELL LLC |
| Other Organization Name | MESSIAH MEDICAL |
| Practice Address |
1780 E Bert Kouns Loop Suite 808 Shreveport LA 71105-5560 |
| Mailing Address |
Po Box 316 Keithville LA 71047-0316 |
| Practice Telephone | 3186715303 |
| Practice Fax Number | 3186715366 |
| Mailing Telephone | 3186715303 |
| Mailing Fax Number | 3186715366 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN ODELL KELLY ODELL (PRESIDENT) |
| Authorized Official Telephone | 3186715303 |
| Authorized Official Credential | CRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| X | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
CRT.LT3308 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Messiah Medical | Doing Business As Name - Organization |
| Street Address |
1780 E BERT KOUNS LOOP SUITE 808 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386668804 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Ste 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285165845 | Assertive Tech LLC | Durable Medical Equipment & Medical Supplies | 7809 Means Ave, New Orleans, LA 70127-1331 | 2017-03-24 |
| 1902296478 | Union Care Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 304 Corporate Dr, Suite A, Houma, LA 70360-2458 | 2015-02-04 |
| 1578961629 | Acariahealth Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1736 Gause Blvd E Ste 24, Slidell, LA 70461-5521 | 2014-12-05 |
| 1598037301 | Northeast Louisiana Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 777 N Washington St, Bastrop, LA 71220-3003 | 2012-02-09 |
| 1700183852 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 2341 Larkspur Ln, Ste 1, Opelousas, LA 70570-8604 | 2011-02-24 |
| 1598070138 | A & B Medical Supply of Crowley, L.L.C. | Durable Medical Equipment & Medical Supplies | 123 N Parkerson Ave, Crowley, LA 70526-5001 | 2010-08-06 |
| 1306012851 | Louisiana Department of Health Oph | Durable Medical Equipment & Medical Supplies | 1450 Poydras St Ste 2046, New Orleans, LA 70112 | 2008-05-05 |
| 1366620700 | Tonore Medical Inc. | Durable Medical Equipment & Medical Supplies | 209 Monroe St, Tallulah, LA 71282-5225 | 2008-02-07 |
| 1508996877 | Health Shield, Inc. | Durable Medical Equipment & Medical Supplies | 4333 Shreveport Hwy, Pineville, LA 71360-3828 | 2007-03-06 |
| 1215093943 | Notre Dame Health System | Durable Medical Equipment & Medical Supplies | 2832 Burdette St, New Orleans, LA 70125-2514 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.