Active NPI
Luci'S Troop LTC LLC
- In Home Supportive Care Agency
- Lafayette, LA
National Provider Identifier
1003003898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 15070
- Legal business name
- LUCI'S TROOP LTC LLC
- Practice address
- 920 W Pinhook Rd Ste 338
Lafayette, LA 70503-2455 - Phone
- (337) 234-7031
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luci St. Julien
- Title
- Owner
- Phone
- (337) 234-7031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 15070 | LA | Primary |
Addresses
Primary practice location
920 W Pinhook Rd Ste 338
Lafayette, LA 70503-2455
Mailing address
111 Rubria St
Lafayette, LA 70501-1735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720968 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Luci'S Troop LTC LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- PACE Provider Organization
- Lafayette, LA
- NPI 1568773299
Locations
920 W Pinhook Rd
Ste 338
Lafayette, LA 70503
Phone (337) 234-7031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1003003898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RUBRIA ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705011735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W PINHOOK RD STE 338",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032455",
"telephone_number": "337-234-7031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCI'S TROOP LTC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "ST. JULIEN",
"authorized_official_first_name": "LUCI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-234-7031"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "LA",
"license": "15070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720968",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.