ACTIVE MEDICAL SUPPORT LLC NPI 1487724654

NPI Information

  • NPI: 1487724654
  • Provider Name: ACTIVE MEDICAL SUPPORT, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 433 12TH ST
    GRETNA, LA
    ZIP 70053
  • Phone: (504) 304-8424

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NPI Details

ACTIVE MEDICAL SUPPORT, LLC is a durable medical equipment medical supplies in Gretna, LA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ACTIVE MEDICAL SUPPORT, LLC NPI is 1487724654. The provider is registered as an organization entity type.

The provider's business location address is:

433 12TH ST
GRETNA, LA
ZIP 70053-525
Phone: (504) 304-8424
Fax: (504) 365-7301

The provider's authorized official is Scot Michael Wright .
The authorized official title is Owner and has the following contact phone number (504) 304-8424.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11310093MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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