Provider Demographics
NPI:1740289735
Name:BEST BUY HOMECARE OF LOUISIANA, INC
Entity type:Organization
Organization Name:BEST BUY HOMECARE OF LOUISIANA, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 1:111 SCHUMATE CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-0583
Mailing Address - Country:US
Mailing Address - Phone:573-634-6001
Mailing Address - Fax:573-634-2816
Practice Address - Street 1:111 SCHUMATE CHAPEL RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-0583
Practice Address - Country:US
Practice Address - Phone:573-634-6001
Practice Address - Fax:573-634-2816
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
81714OtherNORTHWOOD (NPN)
82-05005OtherUNITED HEALTHCARE
V0167OtherHOMELINK
106481OtherBLUE CROSS BLUE SHIELD
228220OtherHEALTHLINK
=========DMEOtherMERCY
82-05005OtherUNITED HEALTHCARE