Active NPI
Acadian Ambulance Service of New Orleans, LLC
- Ambulance
- Harahan, LA
National Provider Identifier
1285630459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 9110083
- Legal business name
- ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC
- Practice address
- 5749 Susitna Dr Ste B
Harahan, LA 70123-4136 - Phone
- (800) 259-2222
- NPI assigned
- Jun 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Leonards
- Title
- Manager of Contracts
- Phone
- (337) 291-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 9110083 | LA | Primary |
Addresses
Primary practice location
5749 Susitna Dr Ste B
Harahan, LA 70123-4136
Mailing address
PO Box 92970
Lafayette, LA 70509-2970
Phone (800) 259-3333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1196878 | Medicaid | LA | |
| 08137228 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040514000051 | LA | Part B Supplier - Ambulance Service Supplier | 5193715910 | Practice locations: Harahan, LA; Violet, LA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
300 Jefferson Hwy
Jefferson, LA 70121
6200 Humphreys St
Ste H
New Orleans, LA 70123
Phone (337) 291-1533
5749 Susitna Dr
Ste B
New Orleans, LA 70123
200 Wright Ave
Ste A
Terrytown, LA 70056
Phone (504) 374-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608076800000",
"number": "1285630459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92970",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705092970",
"telephone_number": "800-259-3333",
"fax_number": "337-291-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5749 SUSITNA DR STE B",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701234136",
"telephone_number": "800-259-2222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADIAN AMBULANCE SERVICE OF NEW ORLEANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "LEONARDS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGER OF CONTRACTS",
"authorized_official_telephone_number": "337-291-4039"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "LA",
"license": "9110083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1196878",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08137228",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.