NPIMap

Organization Active NPI

Strides of Acadiana, LLC

  • Home Infusion Agency
  • Ville Platte, LA
National Provider Identifier
1083707665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
11984 Issued in LA
Legal business name
STRIDES OF ACADIANA, LLC
Practice address
502 W. Lasalle St
Ville Platte, LA 70586
Phone
(337) 363-3750
Fax
(337) 363-3753
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kayla Kincanon
Title
Owner
Phone
(337) 831-4522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 11984 LA Primary

Addresses

Primary practice location

502 W. Lasalle St
Ville Platte, LA 70586

Mailing address

PO Box 216
Ville Platte, LA 70586-0216
Phone (337) 363-3750

Other identifiers 1

IdentifierTypeStateIssuer
1771015MedicaidLA

National Provider Directory

National Provider Directory

Locations

502 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-3750

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083707665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860216",
            "telephone_number": "337-363-3750",
            "fax_number": "337-363-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W. LASALLE ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-3750",
            "fax_number": "337-363-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES OF ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINCANON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-831-4522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "LA",
            "license": "11984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1771015",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.