Provider Demographics
NPI:1679595136
Name:BEDSTAT LLC
Entity type:Organization
Organization Name:BEDSTAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE SHANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, CF-O
Authorized Official - Phone:225-955-2248
Mailing Address - Street 1:37463 DUTTON ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-5380
Mailing Address - Country:US
Mailing Address - Phone:225-677-9887
Mailing Address - Fax:225-677-9887
Practice Address - Street 1:37463 DUTTON ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-5380
Practice Address - Country:US
Practice Address - Phone:225-677-9887
Practice Address - Fax:225-677-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies