HEALTH MART MEDICAL OF LAFAYETTE, L.L.C. (NPI# 1376823716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376823716 |
| Entity Type | Organization |
| Organization Name | HEALTH MART MEDICAL OF LAFAYETTE, L.L.C. |
| Other Organization Name | HEALTH MART MEDICAL |
| Practice Address |
1322 Elton Rd Ste A Jennings LA 70546-4100 |
| Practice Telephone | 3375231851 |
| Practice Fax Number | 3378242057 |
| Mailing Telephone | 3375231851 |
| Mailing Fax Number | 3378242057 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | WESLEY JAMES DAVID (OWNER) |
| Authorized Official Telephone | 3375231851 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
DME.000155 | LA | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
DME.000155 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Health Mart Medical | Doing Business As Name - Organization |
| Street Address |
1322 ELTON RD STE A |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929813 | Lam Duy Nguyen | Internal Medicine | 1322 Elton Rd, Suite E, Jennings, LA 70546-4138 | 2005-11-18 |
| 1003356627 | Christian Lewis | Nurse Practitioner | 1322 Elton Rd, Suite P, Jennings, LA 70546-4100 | 2017-03-01 |
| 1588112239 | Lhcg Lxxviii, LLC | Home Health | 1322 Elton Rd, Suite B, Jennings, LA 70546-4100 | 2016-09-12 |
| 1295192557 | Jennings American Legion Hospital Inc. | Clinic/Center | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2016-01-18 |
| 1457751307 | Imperial Health, LLP | Internal Medicine | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2014-08-28 |
| 1558794065 | Jessie M Broussard | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2013-08-20 |
| 1598019978 | Jill Angelle Breaux | Nurse Practitioner | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2012-11-06 |
| 1538416524 | Mandy Dalton Persick | Occupational Therapist | 1322 Elton Rd, Suite I, Jennings, LA 70546-4100 | 2012-08-08 |
| 1760743058 | Laci Huckaby Byrne | Nurse Practitioner | 1322 Elton Rd, Suite F, Jennings, LA 70546-4100 | 2012-06-03 |
| 1134491947 | Sarah Kay Deese | Registered Nurse | 1322 Elton Rd, Suite H, Jennings, LA 70546-4100 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407214026 | Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 1011 N Lake Arthur Ave, Suite B, Jennings, LA 70546-4631 | 2016-02-10 |
| 1831264803 | Horizon Medical and Nursing Supply, LLC | Durable Medical Equipment & Medical Supplies | 422 N Main St, Jennings, LA 70546-5344 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339046 | Gulf Coast Dme LLC | Durable Medical Equipment & Medical Supplies | 11822 Justice Ave Ste B6, Baton Rouge, LA 70816-2306 | 2020-06-05 |
| 1487278503 | Amerimed Dme | Durable Medical Equipment & Medical Supplies | 706 Verret St, Houma, LA 70360-4634 | 2020-06-04 |
| 1427522929 | Latour Health IIi | Durable Medical Equipment & Medical Supplies | 1004b N Pine St, Deridder, LA 70634-2818 | 2019-01-17 |
| 1235602046 | Access Respiratory Homecare LLC | Durable Medical Equipment & Medical Supplies | 5417 Johnston St, Lafayette, LA 70503-5135 | 2019-01-03 |
| 1609347970 | Duramed Inc | Durable Medical Equipment & Medical Supplies | 70326 Highway 59 Ste 7, Abita Springs, LA 70420-3181 | 2018-12-16 |
| 1487184990 | Duramed, Inc | Durable Medical Equipment & Medical Supplies | 8126 One Calais Ave Ste 1b, Baton Rouge, LA 70809-3448 | 2017-06-16 |
| 1285023804 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 738 E I 10 Service Rd Ste C, Slidell, LA 70461-5519 | 2015-01-20 |
| 1679843098 | Beauregard Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1004 N Pine St, B, Deridder, LA 70634-2818 | 2012-01-02 |
| 1265715221 | National Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2045 N 3rd St Apt 314, Baton Rouge, LA 70802-5182 | 2011-09-26 |
| 1821324021 | Community Oxygen Service, LLC | Durable Medical Equipment & Medical Supplies | 12641 Jefferson Hwy, Baton Rouge, LA 70816-6298 | 2009-10-22 |
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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.