NPIMap

Organization Active NPI

Afnb Home Care LLC

Doing business as A First Name Basis Home Care

  • In Home Supportive Care Agency
  • Mandeville, LA
National Provider Identifier
1215309356
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203782464 Issued in LA
Legal business name
AFNB HOME CARE LLC
Doing business as
A First Name Basis Home Care
Practice address
1011 N Causeway Blvd Ste 30
Mandeville, LA 70471-3277
Phone
(985) 845-4701
Fax
(985) 237-6047
NPI assigned
Oct 28, 2015
Last updated
Jul 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Jake Fackrell
Title
Ceo
Phone
(337) 233-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2203782464 LA Primary

Addresses

Primary practice location

1011 N Causeway Blvd Ste 30
Mandeville, LA 70471-3277

Mailing address

PO Box 60366
Lafayette, LA 70596-0366
Phone (337) 233-4778

Other names 1

  • A First Name Basis Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A First Name Basis Home Care33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

19267 Slemmer Rd
Ste 201
Covington, LA 70433

1011 N Causeway Blvd
Ste 30
Mandeville, LA 70471
Phone (985) 845-4701

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1215309356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60366",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705960366",
            "telephone_number": "337-233-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CAUSEWAY BLVD STE 30",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713277",
            "telephone_number": "985-845-4701",
            "fax_number": "985-237-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFNB HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "FACKRELL",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-233-4778"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203782464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A First Name Basis Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.