| Organization Name: | COMMCARE LOUISIANA |
| NPI Number: | 1275690125 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN A. STASSI (SECRETARY AND DIRECTOR) |
| Mailing Address: | 5201a Shreveport Highway Pineville |
| State: | LA US |
| Postal Code: | 71360 |
| Phone Number: | 3186402030 |
| Fax Number: | 3186404927 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 2730984-001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |