Organization Active NPI

Acadian Ambulance Service of New Orleans, LLC

  • Ambulance
  • Harahan, LA
National Provider Identifier
1285630459
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
9110083 Issued in LA
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

Updated by the provider on Dec 16, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1196878MedicaidLA
08137228MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000051 LA Part B Supplier - Ambulance Service Supplier 5193715910 Practice locations: Harahan, LA; Violet, LA

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.