NPIMap

Organization Active NPI

Acadiana Support Services, LLC

  • In Home Supportive Care Agency
  • Lafayette, LA
National Provider Identifier
1104148154
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1307521 Issued in LA
Legal business name
ACADIANA SUPPORT SERVICES, LLC
Practice address
318-A Guilbeau Road
Lafayette, LA 70506
Phone
(337) 984-8875
Fax
(337) 984-8879
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Ms. Deborah Ruth Silas, R.N.
Title
Program Director
Phone
(337) 984-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1307521 LA Primary

Addresses

Primary practice location

318-A Guilbeau Road
Lafayette, LA 70506

Mailing address

318-A Guilbeau Road
Lafayette, LA 70506
Phone (337) 984-8875

Other identifiers 1

IdentifierTypeStateIssuer
1307521MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Support Servicesllc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1104148154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318-A GUILBEAU ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-984-8875",
            "fax_number": "337-984-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318-A GUILBEAU ROAD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70506",
            "telephone_number": "337-984-8875",
            "fax_number": "337-984-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "SILAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "337-984-8875",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "1307521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307521",
            "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 Apr 5, 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.

Verify at the official NPI Registry.