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MORNING STAR MEDICAL
NPI 1093325854
Durable Medical Equipment & Medical Supplies in Shreveport, LA

Active since August 06, 2020
456 W 61ST ST, SHREVEPORT, LA 71106(318) 347-6402 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2020, Aug 6, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About MORNING STAR MEDICAL

This page provides the complete NPI Profile along with additional information for Morning Star Medical, a provider established in Shreveport, Louisiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1093325854 assigned on August 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Charles Slack (Owner)

NPI
1093325854 Verify this NPI
Provider Name
MORNING STAR MEDICAL
Entity Type
Organization
Location Address
456 W 61ST ST SHREVEPORT, LA 71106
Location Phone
(318) 347-6402
Mailing Address
456 W 61ST ST SHREVEPORT, LA 71106
Mailing Phone
(318) 347-6402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2020
Last Update Date
08-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES SLACK

Authorized Official Title
OWNER
Authorized Official Phone
(318) 347-6402

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Frequently Asked Questions

What is MORNING STAR MEDICAL's NPI number?

The NPI number assigned to this healthcare provider is 1093325854, enumerated as an "organization" on August 06, 2020.

Where is the provider located?

The provider is located at 456 W 61ST ST SHREVEPORT, LA 71106 and the phone number is (318) 347-6402.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.