GREEN MEADOW HAVEN (NPI# 1912121716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912121716 |
| Entity Type | Organization |
| Organization Name | GREEN MEADOW HAVEN |
| Practice Address |
1110 Ringgold Ave Coushatta LA 71019-9073 |
| Mailing Address |
Po Box 13524 Alexandria LA 71315-3524 |
| Practice Telephone | 3189325006 |
| Mailing Telephone | 3184454477 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RUTH PRISOCK (OWNER) |
| Authorized Official Telephone | 3189325006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1670553 | 05 |
| Street Address |
1110 RINGGOLD AVE |
| City | COUSHATTA |
| State | LA |
| Zip Code | 71019-9073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992743538 | Cld Inc | Skilled Nursing Facility | 1110 Ringgold Ave, Coushatta, LA 71019-9073 | 2006-06-04 |
| 1073861837 | Joshua R Cason Limited Apmc | Family Medicine | 1110 Ringgold Ave, Suite B, Coushatta, LA 71019-9073 | 2012-08-27 |
| 1972669026 | Community Rehabilitation Hospital of Coushatta | Rehabilitation Hospital | 1110 Ringgold Ave, Suite B, Coushatta, LA 71019-9073 | 2006-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255898763 | Saint Mark Hospice and Palliative Care LLC | Hospice Care, Community Based | Saint Mark Hospice and Palliative Care LLC, 298 Army Rd, Coushatta, LA 71019 | 2019-02-21 |
| 1750824900 | Ruby Braxton | Counselor | 936 E. Carroll Street, Coushatta, LA 71019 | 2016-11-21 |
| 1447621222 | Ranette Smith | Counselor | 1414 Leigh Street, Coushatta, LA 71019 | 2015-10-19 |
| 1205157237 | Red River Parish Police Jury | Ambulance | 525 Rush Street, Coushatta, LA 71019 | 2010-06-14 |
| 1255566857 | Medcore Specialty Pharmacy | Pharmacy | 1435 E. Carroll St., Suite B, Coushatta, LA 71019 | 2009-05-27 |
| 1437346186 | Specialty Rehabilitation Hospital, L.L.C. | Rehabilitation Hospital | 1110 Ringgold Avenue, Suite B, Coushatta, LA 71019 | 2007-09-26 |
| 1679785976 | Red River Council On Aging, Inc. | Adult Companion | 1825 Front Street, Coushatta, LA 71019 | 2007-05-07 |
| 1699805515 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 S, Coushatta, LA 71019 | 2007-03-07 |
| 1629108386 | Red River Association for Retarded Citizens Inc | Day Training, Developmentally Disabled Services | 1908 Hwy 71 South, Coushatta, LA 71019 | 2007-03-06 |
| 1245366251 | The Will of God Ministries Outreach Program | Preferred Provider Organization | 1113 Caliope Street, Coushatta, LA 71019 | 2007-02-26 |
| Find all providers in zip 71019 | ||||
| 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 |
|---|---|---|---|---|
| 1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
| 1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
| 1386253300 | Michele Burmaster | Durable Medical Equipment & Medical Supplies | 68467 Highway 59 Ste 1, Mandeville, LA 70471-7786 | 2020-07-27 |
| 1619593308 | Preference Medical | Durable Medical Equipment & Medical Supplies | 105 Beech St, Covington, LA 70433-6214 | 2020-06-18 |
| 1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
| 1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
| 1083236053 | Factor- A | Durable Medical Equipment & Medical Supplies | 1200 Camellia Blvd Ste 400, Lafayette, LA 70508-6163 | 2020-05-13 |
| 1730718057 | Megan Mcsweeney Colosino | Durable Medical Equipment & Medical Supplies | 22 Plover St, New Orleans, LA 70124-4408 | 2020-04-07 |
| 1669001640 | Magnolia Healthcare Pa LLC | Durable Medical Equipment & Medical Supplies | 2519 N 7th St Ste 4, West Monroe, LA 71291-5170 | 2020-04-02 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.