Provider Demographics
NPI:1215906144
Name:RESPIRATORY CARE RESOURCES L.L.C.
Entity type:Organization
Organization Name:RESPIRATORY CARE RESOURCES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:337-430-0802
Mailing Address - Street 1:727 RYAN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-4242
Mailing Address - Country:US
Mailing Address - Phone:337-430-0802
Mailing Address - Fax:337-430-0818
Practice Address - Street 1:727 RYAN ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-4242
Practice Address - Country:US
Practice Address - Phone:337-430-0802
Practice Address - Fax:337-430-0818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0132332-001332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1150037Medicaid
LA1150037Medicaid