Provider Demographics
NPI:1881789741
Name:POSITIVE HOME OXYGEN, LLC
Entity type:Organization
Organization Name:POSITIVE HOME OXYGEN, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:MCELVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-839-2218
Mailing Address - Street 1:1223 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-1848
Mailing Address - Country:US
Mailing Address - Phone:985-839-2218
Mailing Address - Fax:985-839-3307
Practice Address - Street 1:1223 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-1848
Practice Address - Country:US
Practice Address - Phone:985-839-2218
Practice Address - Fax:985-839-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1112127Medicaid
LA4351580001Medicare ID - Type UnspecifiedPROVIDER NUMBER