NPIMap

Organization Active NPI

Acadiana Concern for AIDS Relief Education and Support, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lafayette, LA
National Provider Identifier
1457413635
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SA0008130 Issued in LA
Legal business name
ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.
Practice address
809 Martin Luther King Jr Dr
Lafayette, LA 70501-1884
Phone
(337) 233-2437
Fax
(337) 235-4178
NPI assigned
Dec 14, 2006
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Mr. Claude Martin
Title
Executive Director
Phone
(337) 233-2437

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CM4010 LA
Clinic/Center 261Q00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X SA0008130 LA Primary

Addresses

Primary practice location

809 Martin Luther King Jr Dr
Lafayette, LA 70501-1884

Mailing address

PO Box 3865
Lafayette, LA 70502-3865
Phone (337) 233-2437

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Concern for AIDS Relief Education and Support Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

850 N Pierce St
Ste A
Lafayette, LA 70501
Phone (337) 261-9100

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1457413635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3865",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705023865",
            "telephone_number": "337-233-2437",
            "fax_number": "337-235-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MARTIN LUTHER KING JR DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011884",
            "telephone_number": "337-233-2437",
            "fax_number": "337-235-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-233-2437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "LA",
            "license": "CM4010",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "SA0008130",
            "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 Nov 15, 2022; 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.