Evangeline Council on Aging, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

PCA 3677 Issued in LA

Legal business name

EVANGELINE COUNCIL ON AGING, INC.

Practice address

1012 N Reed St
Ville Platte, LA 70586-2504

Phone

(337) 363-5161

Fax

(337) 363-5301

NPI assigned

Jan 23, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eugene J Leboeuf

Title

Executive Director

Phone

(337) 363-5161

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Evangeline Council on Aging3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Evangeline Council on Aging

  • Non-emergency Medical Transport (VAN)
  • Ville Platte, LA
  • NPI 1144369018
  NPD tax ID
• Evangleine Council on Aging

  • Preferred Provider Organization
  • Ville Platte, LA
  • NPI 1437298304
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1023162153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N REED ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862504",
            "telephone_number": "337-363-5161",
            "fax_number": "337-363-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 N REED ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862504",
            "telephone_number": "337-363-5161",
            "fax_number": "337-363-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "LEBOEUF",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-363-5161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "PCA 3677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1664812",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jana C Enicke
• Evangeline Arc Respite Center
• Evangeline Association for Retarded Citizens Respite Center
• Evangeline Association for Retarded Citizens Respite Center
• Evangeline Council on Aging
• Evangeline Diagnostic Center LLC (Acadian Laboratory Services LLC)
• Evangeline Drug Store Inc
• Evangeline Medical & Nursing Supply, Inc.
• Evangeline MHT LLC
• Evangeline Parish School Board

• Preferred Provider Organization in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Preferred Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.