REVIVE RESPIRATORY AND DME LLC (NPI# 1710290622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710290622 |
| Entity Type | Organization |
| Organization Name | REVIVE RESPIRATORY AND DME LLC |
| Other Organization Name | REVIVE RESPIRATORY AND DME LLC |
| Practice Address |
9591 Wallace Lake Rd Shreveport LA 71106-7535 |
| Practice Telephone | 3186878813 |
| Practice Fax Number | 3186878813 |
| Mailing Telephone | 3186878813 |
| Mailing Fax Number | 3186878813 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MRS. VERA MITCHELL WARE (OWNER/MANAGER) |
| Authorized Official Telephone | 3186878813 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
LT3525 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Revive Respiratory and DME LLC | Doing Business As Name - Organization |
| Street Address |
9591 WALLACE LAKE RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841501467 | Vera Mitchell Ware | Respiratory Therapist, Registered | 9591 Wallace Lake Rd, Shreveport, LA 71106-7535 | 2010-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649418625 | Home Medical Rental, Inc. | Durable Medical Equipment & Medical Supplies | 1204 Shreveport Barksdale Hwy, Shreveport, LA 71105-2406 | 2009-01-28 |
| 1700938693 | Associated Medical & Oxygen Supply, Inc. | Durable Medical Equipment & Medical Supplies | 8870 Youree Dr Ste 107, Shreveport, LA 71115-2512 | 2007-01-18 |
| 1457460388 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 2535 Bert Kouns Industrial Loop, Ste 225 C & D, Shreveport, LA 71118-3159 | 2006-08-30 |
| 1316982499 | Shreveport Oxygen & Rental, LLC | Durable Medical Equipment & Medical Supplies | 5150 Interstate Dr., Ste. 216, Shreveport, LA 71109 | 2006-06-20 |
| 1144229162 | Ashley Medical Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 1435 Hawn Ave, Shreveport, LA 71107-6533 | 2005-07-20 |
| 1477577997 | Complete Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2006-07-27 |
| 1295713956 | Wellnecessities, Inc. | Durable Medical Equipment & Medical Supplies | 8835 Line Avenue, Suite 500, Shreveport, LA 71106 | 2006-01-04 |
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|---|---|---|---|---|
| 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 |
| 1407214026 | Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 1011 N Lake Arthur Ave, Suite B, Jennings, LA 70546-4631 | 2016-02-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.