MEDICAL SUPPLIES OF BATON ROUGE (NPI# 1396813424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396813424 |
| Entity Type | Organization |
| Organization Name | MEDICAL SUPPLIES OF BATON ROUGE |
| Practice Address |
4326 North Foster Drive Baton Rouge LA 70805 |
| Practice Telephone | 2253541082 |
| Practice Fax Number | 2253541090 |
| Mailing Telephone | 2253541082 |
| Mailing Fax Number | 2253541090 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. THOMPSON WEBILOR CHINWOH (CHIEF EXECUTIVE OFFICER CEO) |
| Authorized Official Telephone | 2253541082 |
| Authorized Official Credential | CEO |
| 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 | 1476480 | 05 |
| Street Address |
4326 NORTH FOSTER DRIVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| 1811533813 | Madison Mulkey | Durable Medical Equipment & Medical Supplies | 1556 Saint Rose Ave, Baton Rouge, LA 70808-1060 | 2019-11-25 |
| 1285275404 | Louisiana Assistive Technology Access Network | Durable Medical Equipment & Medical Supplies | 3042 Old Forge Dr Ste D, Baton Rouge, LA 70808-3182 | 2019-09-30 |
| 1275181331 | Fairburn Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4306 Rhoda Dr, Baton Rouge, LA 70816-4136 | 2019-08-30 |
| 1336701671 | Rabun Dakota Jackson | Durable Medical Equipment & Medical Supplies | 2236 Hoyt Dr, Baton Rouge, LA 70816-3384 | 2019-07-08 |
| 1093288581 | Carl Ravey | Durable Medical Equipment & Medical Supplies | 2736 Oneal Ln Ste I, Baton Rouge, LA 70816-3186 | 2019-01-07 |
| 1235625641 | Dura Medic, LLC | Durable Medical Equipment & Medical Supplies | 8044 Summa Ave # B-2, Baton Rouge, LA 70809-3411 | 2018-07-09 |
| 1619465184 | Orthotic Specialties, LLC | Durable Medical Equipment & Medical Supplies | 5713 Superior Dr Ste B4, Baton Rouge, LA 70816-8015 | 2018-04-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on MEDICAL SUPPLIES OF BATON ROUGE.
| 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.