Active NPI
Consolata Home
- Nursing Facility/Intermediate Care Facility
- New Iberia, LA
National Provider Identifier
1073568531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 147
- Legal business name
- CONSOLATA HOME
- Practice address
- 2319 E Main St
New Iberia, LA 70560-4031 - Phone
- (337) 365-8226
- Fax
- (337) 365-8626
- NPI assigned
- May 23, 2006
- 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
- Mr. David Landry
- Title
- Administrator
- Phone
- (337) 365-8226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 147 | LA | Primary |
Addresses
Primary practice location
2319 E Main St
New Iberia, LA 70560-4031
Mailing address
2319 East Main Street
New Iberia, LA 70560
Phone (337) 365-8226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1511382 | Medicaid | LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0461414 | Consolata Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073568531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 EAST MAIN STREET",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70560",
"telephone_number": "337-365-8226",
"fax_number": "337-365-8626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 E MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604031",
"telephone_number": "337-365-8226",
"fax_number": "337-365-8626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSOLATA HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "337-365-8226",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "LA",
"license": "147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1511382",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.