Lafayette Health Ventures, Inc Dba Advanced Medical Supplies & Service

Durable Medical Equipment & Medical Supplies

Suppliers

1010 Coolidge Blvd, Lafayette, LA 70503-2436

PECOS Enrollment

Based on the most recent information from CMS, provider Lafayette Health Ventures, Inc Dba Advanced Medical Supplies & Service does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1972726412
Provider Type
Organization
Full Name
Lafayette Health Ventures, Inc Dba Advanced Medical Supplies & Service

Subpart
No
Enumeration Date
4/11/2007
Last Updated
8/22/2020

Contact Information

Practice Location

1010 Coolidge Blvd, Lafayette, LA 70503-2436

(337) 289-8929

(337) 289-8928

Mailing Location

1010 Coolidge Blvd, Lafayette, LA 70503-2436

(337) 289-8929

(337) 289-8928

Authorized Official

Huval, Carolyn (Vice President)

(227) 289-8969

Provider Taxonomies

Code	Description	License
Code 332B00000X Primary	Description Durable Medical Equipment & Medical Supplies Suppliers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1184705	Description Medicaid	Issuer Unlisted Louisiana

Lafayette Health Ventures, Inc Dba Advanced Medical Supplies & Service

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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ID

Description

Issuer

ID

Description

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