Organization Active NPI

Advanced Healthcare Systems LLC

  • In Home Supportive Care Agency
  • Lafayette, LA
National Provider Identifier
1194015701
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ADVANCED HEALTHCARE SYSTEMS LLC
Practice address
701 W Alexander St
Lafayette, LA 70501-1217
Phone
(337) 254-8153
NPI assigned
Apr 15, 2011
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Ericoka N Thibodeaux, BS, JD
Title
Quality Assurance/Improvement
Phone
(337) 254-8153

Specialties & licenses 1

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

Addresses

Primary practice location

701 W Alexander St
Lafayette, LA 70501-1217

Mailing address

701 W Alexander St
Lafayette, LA 70501-1217

National Provider Directory

National Provider Directory

Locations

701 W Alexander St
Lafayette, LA 70501
Phone (337) 254-8153

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1194015701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W ALEXANDER ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W ALEXANDER ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011217",
            "telephone_number": "337-254-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "ERICOKA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "QUALITY ASSURANCE/IMPROVEMENT",
        "authorized_official_telephone_number": "337-254-8153",
        "authorized_official_credential": "BS, JD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2011; 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.