NPIMap

Organization Active NPI

Activities of Daily Living

  • In Home Supportive Care Agency
  • Breaux Bridge, LA
National Provider Identifier
1154942126
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACTIVITIES OF DAILY LIVING
Doing business as
Activities of Daily Living
Practice address
400 Richard St
Breaux Bridge, LA 70517-6039
Phone
(337) 332-1810
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Stella WiltzNPI 1083829766
Title
Owner
Phone
(337) 332-1810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

400 Richard St
Breaux Bridge, LA 70517-6039

Mailing address

400 Richard St
Breaux Bridge, LA 70517-6039

Other names 1

  • Activities of Daily Living Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1154942126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RICHARD ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RICHARD ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705176039",
            "telephone_number": "337-332-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVITIES OF DAILY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "WILTZ",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-332-1810"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "address_1": "400 Richard St",
            "city": "Breaux Bridge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705176039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Activities of Daily Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.