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Activities of Daily Living Services

Organization Active NPI In Home Supportive Care Agency · Breaux Bridge, LA

NPI 1396969887 · NPPES record last updated Mar 13, 2025

Key facts

NPI
1396969887
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ACTIVITIES OF DAILY LIVING SERVICES
Practice address
400 Richard St
Breaux Bridge, LA 70517-6039
Phone
(337) 332-1810
Fax
(337) 332-3300
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

Name
Ms. Stella Wiltz, OWNER
Title
Director of Services
Phone
(337) 332-1810

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Activities of Daily Living Services (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes
Personal Care Attendant
Group: 193400000X SINGLE SPECIALTY GROUP		 3747P1801X

Addresses

Primary practice location

400 Richard St
Breaux Bridge, LA 70517-6039

Mailing address

400 Richard St
Breaux Bridge, LA 70517-6039
Phone (337) 332-1810

Other identifiers

IdentifierTypeStateIssuer
1720810MedicaidLA

Other providers in Breaux Bridge, LA

All providers in Breaux Bridge, LA · In Home Supportive Care Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.