NPIMap

Organization Active NPI

Medical Advantage Care, L.L.C.

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, LA
National Provider Identifier
1285854489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11345 Issued in LA
Legal business name
MEDICAL ADVANTAGE CARE, L.L.C.
Practice address
216 8TH St
Lafayette, LA 70501-7163
Phone
(337) 269-1629
Fax
(337) 269-1628
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Angel Provost Olivier
Title
Executive Director
Phone
(337) 365-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 11345 LA Primary

Addresses

Primary practice location

216 8TH St
Lafayette, LA 70501-7163

Mailing address

216 8TH St
Lafayette, LA 70501-7163
Phone (337) 269-1629

Other identifiers 1

IdentifierTypeStateIssuer
1188328OtherLARESPITE PROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Medical Advantage Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285854489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 8TH ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017163",
            "telephone_number": "337-269-1629",
            "fax_number": "337-269-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 8TH ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705017163",
            "telephone_number": "337-269-1629",
            "fax_number": "337-269-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ADVANTAGE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVIER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "PROVOST",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-365-4052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "11345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE PROVIDER NUMBER",
            "identifier": "1188328",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "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 Aug 22, 2020; 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.