Provider Demographics
NPI:1225037237
Name:BEST BUY HOMECARE OF LOUISIANA, INC
Entity Type:Organization
Organization Name:BEST BUY HOMECARE OF LOUISIANA, INC
Other - Org Name:BEST BUY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-754-4527
Mailing Address - Street 1:100 E TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-1554
Mailing Address - Country:US
Mailing Address - Phone:573-499-1779
Mailing Address - Fax:573-443-6936
Practice Address - Street 1:100 E TEXAS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-1554
Practice Address - Country:US
Practice Address - Phone:573-499-1779
Practice Address - Fax:573-443-6936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
228220OtherHEALTHLINK
81716OtherNORTHWOOD (NPN)
106481OtherBLUE CROSS BLUE SHIELD
82-05005OtherUNITED HEALTHCARE
V0168OtherHOMELINK
106481OtherBLUE CROSS BLUE SHIELD
81716OtherNORTHWOOD (NPN)