NPIMap

Organization Active NPI

Acadiana Support Services

  • In Home Supportive Care Agency
  • Lafayette, LA
National Provider Identifier
1497902704
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1311227 Issued in LA
Legal business name
ACADIANA SUPPORT SERVICES
Practice address
318A Guilbeau Rd
Lafayette, LA 70506-6914
Phone
(337) 984-8875
Fax
(337) 984-8879
NPI assigned
Aug 19, 2008
Last updated
Apr 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Deborah R Silas, REGISTERED NURSE
Title
Owner
Phone
(337) 984-8875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1311227 LA Primary

Addresses

Primary practice location

318A Guilbeau Rd
Lafayette, LA 70506-6914

Mailing address

318A Guilbeau Rd
Lafayette, LA 70506-6914
Phone (337) 984-8875

Other identifiers 1

IdentifierTypeStateIssuer
1311227MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Support Servicesllc5 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.

Locations

318A Guilbeau Rd
Lafayette, LA 70506
Phone (337) 984-8875

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1497902704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318A GUILBEAU RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066914",
            "telephone_number": "337-984-8875",
            "fax_number": "337-984-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318A GUILBEAU RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066914",
            "telephone_number": "337-984-8875",
            "fax_number": "337-984-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "SILAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-984-8875",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "1311227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311227",
            "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 Apr 5, 2010; 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.