Individual provider Active NPI

Elroy Miller

  • Nursing Care Agency
  • Lafayette, LA
National Provider Identifier
1427441633
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
47-3230810 Issued in LA
Practice address
407 Boulder Creek Pkwy
Lafayette, LA 70508-1718
Phone
(337) 580-3107
Fax
(337) 857-2712
NPI assigned
Mar 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 47-3230810 LA Primary

Addresses

Primary practice location

407 Boulder Creek Pkwy
Lafayette, LA 70508-1718

Mailing address

407 Boulder Creek Pkwy
Lafayette, LA 70508-1718
Phone (337) 580-3107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
47-3230810LAMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1427441633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BOULDER CREEK PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081718",
            "telephone_number": "337-580-3107",
            "fax_number": "337-857-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BOULDER CREEK PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705081718",
            "telephone_number": "337-580-3107",
            "fax_number": "337-857-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "47-3230810",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2015; 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.