Organization Active NPI

Amian Health Services of Lake Charles

  • Developmentally Disabled Services Day Training Agency
  • Lake Charles, LA
National Provider Identifier
1245443084
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6986 Issued in LA
Legal business name
AMIAN HEALTH SERVICES OF LAKE CHARLES
Practice address
710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349
Phone
(337) 477-7083
NPI assigned
May 8, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mr. Phillip Papillion
Title
Owner
Phone
(337) 477-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6986 LA Primary

Addresses

Primary practice location

710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349

Mailing address

710 W Prien Lake Rd
Suite 206
Lake Charles, LA 70601-8349
Phone (337) 477-7083

Other identifiers 1

IdentifierTypeStateIssuer
1014591MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Amian Health Services of Lake Charles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1245443084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "SUITE 206",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-477-7083",
            "fax_number": "337-478-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "SUITE 206",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-477-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIAN HEALTH SERVICES OF LAKE CHARLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "PAPILLION",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-477-7083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014591",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.