DISTINCT HOME HEALTH CARE INC (NPI# 1801876537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801876537 |
Entity Type | Organization |
Organization Name | DISTINCT HOME HEALTH CARE INC |
Other Organization Name | SAMARITAN HOME MEDICAL EQUIPMENT |
Practice Address |
9162 Mansfield Rd Shreveport LA 71118-3123 |
Mailing Address |
Po Box 536576 Orlando FL 32853-6576 |
Practice Telephone | 3186884080 |
Practice Fax Number | 3186884082 |
Mailing Telephone | 4072461226 |
Mailing Fax Number | 4076482297 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2010-10-19 |
Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
Authorized Official Telephone | 4078224600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1141992 | 05 |
Other Name | Type Code |
---|---|
SAMARITAN HOME MEDICAL EQUIPMENT | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629048558 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 408 E Main St, Atlanta, TX 75551-2640 | 2006-01-24 |
1649240581 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 501 N Spur 63 Ste B4, Longview, TX 75601-5000 | 2006-01-24 |
1003896739 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 112 S Trenton St, Ruston, LA 71270-4432 | 2006-01-19 |
1700866423 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 2801 Northside Dr, Suite 11, Bossier City, LA 71111-3400 | 2006-01-19 |
1851371496 | Distinct Home Health Care Inc | Prosthetic/Orthotic Supplier | 5502 Summerhill Rd, Texarkana, TX 75503-1822 | 2006-01-19 |
1225018963 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 14231 Seaway Rd Ste E5, Gulfport, MS 39503-4627 | 2006-01-19 |
1861472599 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 415 Bienville St Ste 5, Natchitoches, LA 71457-5700 | 2006-01-19 |
1356725972 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 199 Interstate Dr, Suite S, Richland, MS 39218-4428 | 2015-07-14 |
1427028240 | Distinct Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 7535 Airways Blvd, Suite 101, Southaven, MS 38671-5834 | 2006-01-24 |
Street Address |
9162 MANSFIELD RD |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-3123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
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 |
---|---|---|---|---|
1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
1982253340 | Total Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1111, Shreveport, LA 71101-5303 | 2019-09-09 |
1548611288 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 9484 Ellerbe Rd Ste 100, Shreveport, LA 71106 | 2016-06-23 |
1750730057 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 10460 Norris Ferry Rd, Shreveport, LA 71106 | 2016-06-07 |
1396117735 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4701 Northport Blvd, Shreveport, LA 71107 | 2015-10-26 |
1437521879 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 412 Bert Kouns Industrial Loop, Shreveport, LA 71106-8127 | 2015-10-26 |
1871905992 | Tap-alert | Durable Medical Equipment & Medical Supplies | 3305 W 70th St Unit D, Shreveport, LA 71108-4609 | 2014-05-23 |
1558709279 | Nla Medical LLC | Durable Medical Equipment & Medical Supplies | 8125 Captain Mary Miller Dr, Shreveport, LA 71115-2982 | 2013-06-05 |
1225381981 | Med Health Depot, LLC | Durable Medical Equipment & Medical Supplies | 6658 Youree Dr, Suite 180 #298, Shreveport, LA 71105-4648 | 2012-10-18 |
1902176142 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9510 Ellerbe Rd, Shreveport, LA 71106-7406 | 2012-01-05 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71118 |
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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.