NPIMap

Organization Active NPI

Acadian Homecare of New Iberia, LLC

  • Home Health Agency
  • New Iberia, LA
National Provider Identifier
1306197538
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ACADIAN HOMECARE OF NEW IBERIA, LLC
Practice address
124 E Main St
Suite 210
New Iberia, LA 70560-3725
Phone
(337) 367-1882
Fax
(337) 367-5037
NPI assigned
Sep 27, 2012
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Donald D. Stelly
Title
President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

124 E Main St
Suite 210
New Iberia, LA 70560-3725

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121128000668 LA Part A Provider - Home Health Agency 2769634609 Practice locations: New Iberia, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306197538. Details of each certification follow.

Home health agency certification: CCN 197718

Legal name
ACADIAN HOMECARE OF NEW IBERIA LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 9, 1995
Last certification
Jan 9, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 26, 2012 in LA
Enrollment address
124 E Main St
Ste 210
New Iberia, LA 70560-3725

Care Compare: Home health agency

Medicare Care Compare
Listed as
Acadian Homecare of New Iberia, LLCCCN 197718 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 9, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0901783Acadian Homecare of New Iberia, LLC124 East Main Street, Suite 210, New Iberia, LA 70560Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

124 E Main St
#210
New Iberia, LA 70560

124 E Main St
Ste 210
New Iberia, LA 70560
Phone (337) 367-1882

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 75%
Hospital Service District No. 1 of Iberia Parish Organization, New Iberia, LA Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2018 25%
Wendy S Daigle Individual Corporate DirectorDirector, Licensure & Regulatory Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2012 75%
Operational/Managerial Control Nov 1, 2012
Lacie G Moore Individual W-2 Managing EmployeeAdministrator / Dirctor of Nursing Jun 1, 2021
Joshua Lee Proffitt Individual Corporate OfficerPresident Dec 31, 2019
Louisiana Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2012 75%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Affiliated clinicians 34

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1306197538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E MAIN ST",
            "address_2": "SUITE 210",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603725",
            "telephone_number": "337-367-1882",
            "fax_number": "337-367-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN HOMECARE OF NEW IBERIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.