Active NPI
Shantale Miller
- In Home Supportive Care Agency
- Lafayette, LA
National Provider Identifier
1255048575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 1018 Harding St
Lafayette, LA 70503-2400 - Phone
- (337) 262-8326
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1018 Harding St
Lafayette, LA 70503-2400
Mailing address
122 Madi Cir # 122
Lafayette, LA 70506-9350
Phone (337) 303-6466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456789 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Smiller@aocteam.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acts of Care LLC | In Home Supportive Care | Current | Accepting new patients |
| Acts of Care LLC | In Home Supportive Care | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Lafayette, LA
- NPI 1457156762
-
- In Home Supportive Care Agency
- Lafayette, LA
- NPI 1457158412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1255048575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 MADI CIR # 122",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705069350",
"telephone_number": "337-303-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 HARDING ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032400",
"telephone_number": "337-262-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHANTALE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123456789",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Smiller@aocteam.com",
"affiliation": "N",
"address_1": "1018 Harding St",
"city": "Lafayette",
"state": "LA",
"country_code": "US",
"postal_code": "705032400",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 7, 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.