NPIMap

Organization Active NPI

Acadiana Hope and Wellness Center, LLC

  • Community/Behavioral Health Agency
  • Crowley, LA
National Provider Identifier
1194182774
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2203782856 Issued in LA
Legal business name
ACADIANA HOPE AND WELLNESS CENTER, LLC
Practice address
19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone
(337) 514-2101
Fax
(337) 514-2105
NPI assigned
Jan 27, 2016
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Valencia DemuchestNPI 1467061838
Title
Owner/Administrator
Phone
(337) 514-2101

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2203782856 LA Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801

Mailing address

19157 Crowley Eunice Hwy
Crowley, LA 70526-0801
Phone (337) 514-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190111000386 LA Part B Supplier - Clinic/Group Practice 9739425778 Receives reassigned benefits from 2 practitioners
Practice locations: Crowley, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1194182774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19157 CROWLEY EUNICE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705260801",
            "telephone_number": "337-514-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19157 CROWLEY EUNICE HWY",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705260801",
            "telephone_number": "337-514-2101",
            "fax_number": "337-514-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA HOPE AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "DEMUCHEST",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "337-514-2101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "2203782856",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.