SNELLS LIMBS & BRACES OF SHREVEPORT LLC (NPI# 1255482923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255482923 |
Entity Type | Organization |
Organization Name | SNELLS LIMBS & BRACES OF SHREVEPORT LLC |
Practice Address |
211 Hall St Monroe LA 71201-7524 |
Mailing Address |
1833 Line Ave Shreveport LA 71101-4611 |
Practice Telephone | 3183883126 |
Mailing Telephone | 3184244167 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2012-11-15 |
Authorized Official Name | MR. CLYDE N. MASSEY (VICE PRESIDENT) |
Authorized Official Telephone | 3184244167 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1909742 | 05 | |
LA | BLUE CROSS SUPPLIER NUMBE | 27624 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093963878 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 8730 Youree Dr, Building A, Shreveport, LA 71115-2518 | 2008-09-04 |
1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
1366593022 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1404 Jackson St, Alexandria, LA 71301-6931 | 2007-01-16 |
Street Address |
211 HALL ST |
City | MONROE |
State | LA |
Zip Code | 71201-7524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013077064 | Premier Hope Orthotic & Prosthetic Enterprises LLC | Prosthetic/Orthotic Supplier | 1209 Royal Avenue, Monroe, LA 71201 | 2006-12-11 |
1265538805 | Adar Orthopedic Appliances, Inc. | Prosthetic/Orthotic Supplier | 52 Satmar Dr, Unit 101, Monroe, NY 10950-8843 | 2006-09-14 |
1699740266 | Swanson Orthotics & Prosthetics Center, Inc. | Prosthetic/Orthotic Supplier | 1174 W Front St, Monroe, MI 48161-2465 | 2006-02-17 |
1942790431 | Kenney Orthopedics of Monroe, LLC | Prosthetic/Orthotic Supplier | 1420 Ellen St, Monroe, NC 28112-5173 | 2018-05-10 |
1326385949 | Kenney Orthopedics of Monroe, LLC | Prosthetic/Orthotic Supplier | 1420 Ellen St, Monroe, NC 28112 | 2013-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558970418 | B'obsessed Hair Collection | Prosthetic/Orthotic Supplier | 3009 Ray Weiland Dr, Baker, LA 70714-3251 | 2020-07-27 |
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
1154953321 | One Source Inc. | Prosthetic/Orthotic Supplier | 1346 Lindberg Dr Ste 8, Slidell, LA 70458-8081 | 2020-02-06 |
1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
1295298321 | Swamp Elite Retreat Inc | Prosthetic/Orthotic Supplier | 46424 Rufus Bankston Rd, Hammond, LA 70401-6108 | 2019-04-06 |
1780142836 | Jaubert Prosthetics, LLC | Prosthetic/Orthotic Supplier | 1625 Ryan St Ste C, Lake Charles, LA 70601-5965 | 2019-03-07 |
1225501752 | Adaptive Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 1208 Louise St, Thibodaux, LA 70301-4257 | 2019-01-08 |
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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.