Active NPI
1St Abundant Home Care, LLC
- Developmentally Disabled Services Day Training Agency
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- PCA15033
- Legal business name
- 1ST ABUNDANT HOME CARE, LLC
- Practice address
- 4865 Ihles Rd # 14
Lake Charles, LA 70605-5900 - Phone
- (337) 602-6241
- Fax
- (337) 602-6655
- NPI assigned
- Jun 17, 2008
- 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
- Alicia Michele Williams
- Title
- President/Ceo
- Phone
- (337) 602-6241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | PCA15033 | LA | Primary |
Addresses
Primary practice location
4865 Ihles Rd # 14
Lake Charles, LA 70605-5900
Mailing address
4865 Ihles Rd # 14
Lake Charles, LA 70605-5900
Phone (337) 602-6241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1069868 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- 1St Abundant Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Lake Charles, LA
- NPI 1043470701
Locations
824 Sam Houston Jones Pkwy
Ste G
Lake Charles, LA 70611
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Lake Charles, LA
- NPI 1205013992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1154582732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4865 IHLES RD # 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055900",
"telephone_number": "337-602-6241",
"fax_number": "337-602-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4865 IHLES RD # 14",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055900",
"telephone_number": "337-602-6241",
"fax_number": "337-602-6655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST ABUNDANT HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-17",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "337-602-6241"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "LA",
"license": "PCA15033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1069868",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.