Organization Active NPI

Personal Advance Care, LLC

  • Assisted Living Facility (Mental Illness)
  • Baton Rouge, LA
National Provider Identifier
1073151346
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
PERSONAL ADVANCE CARE, LLC
Practice address
2523 Laurel St
Baton Rouge, LA 70802-3140
Phone
(225) 205-6575
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Andrea G Lafayette
Title
Owner
Phone
(225) 205-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

2523 Laurel St
Baton Rouge, LA 70802-3140

Mailing address

9442 Country Lake Dr
Baton Rouge, LA 70817-7027
Phone (225) 205-6575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1073151346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9442 COUNTRY LAKE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708177027",
            "telephone_number": "225-205-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 LAUREL ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023140",
            "telephone_number": "225-205-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL ADVANCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "LAFAYETTE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-205-6575"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.