Provider Demographics
NPI:1114095031
Name:REST ASSURE HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:REST ASSURE HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-739-9455
Mailing Address - Street 1:412 S ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:RAYNE
Mailing Address - State:LA
Mailing Address - Zip Code:70578-5840
Mailing Address - Country:US
Mailing Address - Phone:337-334-3434
Mailing Address - Fax:337-334-3434
Practice Address - Street 1:412 S ADAMS AVE
Practice Address - Street 2:
Practice Address - City:RAYNE
Practice Address - State:LA
Practice Address - Zip Code:70578-5840
Practice Address - Country:US
Practice Address - Phone:337-334-3434
Practice Address - Fax:337-334-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1455768Medicaid
LA5822610001Medicare NSC