Provider Demographics
NPI:1265498042
Name:BEST CARE MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:BEST CARE MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OHENEBA
Authorized Official - Middle Name:T
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-561-7070
Mailing Address - Street 1:3175 MASONIC DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-4243
Mailing Address - Country:US
Mailing Address - Phone:318-561-7070
Mailing Address - Fax:318-473-9009
Practice Address - Street 1:3175 MASONIC DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-4243
Practice Address - Country:US
Practice Address - Phone:318-561-7070
Practice Address - Fax:318-473-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARFO 35546568K332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4921930002Medicare NSC