ADVANCE ONE MEDICAL EQUIPMENT & SUPPLIES LLC. (NPI# 1275655854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275655854 |
Entity Type | Organization |
Organization Name | ADVANCE ONE MEDICAL EQUIPMENT & SUPPLIES LLC. |
Practice Address |
1700 Old Minden Rd Suite 116 Bossier City LA 71111-4820 |
Practice Telephone | 3185491113 |
Practice Fax Number | 3185493331 |
Mailing Telephone | 3185491113 |
Mailing Fax Number | 3185493331 |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. ZABRINA MARIE KRUG (OFFICE MANAGER) |
Authorized Official Telephone | 3185491113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 5017108001 | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1100102 | 05 |
Street Address |
1700 OLD MINDEN RD SUITE 116 |
City | BOSSIER CITY |
State | LA |
Zip Code | 71111-4820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
Find all providers in zip 71111 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033595251 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4000 Barksdale Blvd, Bossier City, LA 71112-3902 | 2015-08-11 |
1568895761 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4870 Airline Dr., Bossier City, LA 71111-6609 | 2013-08-12 |
1811221427 | Reach Out and Touch, Inc | Durable Medical Equipment & Medical Supplies | 804 Brittany Ln, Bossier City, LA 71111-2173 | 2009-09-29 |
1144465535 | Stepping Stone Medical Supply | Durable Medical Equipment & Medical Supplies | 6507 Barksdale Blvd Lot 162, Bossier City, LA 71112-8641 | 2008-12-12 |
1770737470 | Recovercare, LLC. | Durable Medical Equipment & Medical Supplies | 4602a Macks Dr, Bossier City, LA 71111-5326 | 2008-11-07 |
1255537494 | Rehoboth Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 2438 E Texas St, 7, Bossier City, LA 71111-3737 | 2007-06-25 |
1689882185 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2735 Beene Blvd, Bossier City, LA 71111-5491 | 2007-05-18 |
1811011620 | Wellcare Pharmacy & Home Infusion LLC | Durable Medical Equipment & Medical Supplies | 4160 Airline Dr, Bossier City, LA 71111-2050 | 2007-03-19 |
1922143023 | Custom Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1701 Old Minden Rd Ste 6, Bossier City, LA 71111-4849 | 2007-02-20 |
1538203369 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 2915 E Texas St, Bossier City, LA 71111-3201 | 2007-02-16 |
Find all providers in BOSSIER CITY |
City | BOSSIER CITY |
Zip Code | 71111 |
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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.