Pediatrust Acadiana, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

PEDIATRUST ACADIANA, LLC

Practice address

331 Doucet Rd
Lafayette, LA 70503-3447

Phone

(225) 665-6555

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leann Craig

Title

Owner

Phone

(225) 252-7633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1174120612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 JEFFERSON HWY STE 12",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068287",
            "telephone_number": "225-252-7633",
            "fax_number": "225-304-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 DOUCET RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033447",
            "telephone_number": "225-665-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRUST ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-252-7633"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Neurology of Acadiana
• Pediatric Specialties Apmc
• Pediatric Therapy and Learning Center
• Pediatric Therapy and Learning Center LLC
• Pediatric Therapy and Learning Center, LLC
• Michael Peebles
• Peggy Vallot (Caring Touch Home Care LLC)
• Peggy Vallot (Caring Touch Home Care LLC)
• Peggy Vallot (Caring Touch Home Care LLC)
• Carol Swaim Peirce

• Medically Fragile Infants and Children Day Care in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Medically Fragile Infants and Children Day Care in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.