Organization Active NPI

Acadiana Circle of Friends

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Youngsville, LA
National Provider Identifier
1205957347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
ACADIANA CIRCLE OF FRIENDS
Practice address
2403 Bonin Rd
Youngsville, LA 70592-5658
Phone
(337) 856-0460
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Shawn Janes
Title
Owner
Phone
(337) 856-0460

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Circle of Friends (5 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X LA Primary

Addresses

NPPES NPI Registry

Primary practice location

2403 Bonin Rd
Youngsville, LA 70592-5658

Mailing address

2403 Bonin Rd
Youngsville, LA 70592-5658

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1551741MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205957347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 BONIN RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 BONIN RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925658",
            "telephone_number": "337-856-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA CIRCLE OF FRIENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANES",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-856-0460"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551741",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.