Provider Demographics
NPI:1073558201
Name:BENOIT TOTAL CARE, L.L.C.
Entity Type:Organization
Organization Name:BENOIT TOTAL CARE, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:BENOIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-291-9919
Mailing Address - Street 1:115 MARCON DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70507-6208
Mailing Address - Country:US
Mailing Address - Phone:337-291-9919
Mailing Address - Fax:337-291-9920
Practice Address - Street 1:115 MARCON DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70507-6208
Practice Address - Country:US
Practice Address - Phone:337-291-9919
Practice Address - Fax:337-291-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1562998Medicaid
LA1298510001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER