NPIMap

Organization Active NPI

Compassionate Covenant Adult Day Health Care Inc.

  • Adult Day Care Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1548201437
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
4121 Issued in LA
Legal business name
COMPASSIONATE COVENANT ADULT DAY HEALTH CARE INC.
Practice address
2120 Oak Park Blvd
Lake Charles, LA 70601-7864
Phone
(337) 474-2878
Fax
(337) 474-2875
NPI assigned
Jun 9, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Julie H. Guidry, R.N.
Title
Executive Director
Phone
(337) 474-2878

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 12843 LA
Adult Day Care Clinic/Center 261QA0600X 4121 LA Primary

Addresses

Primary practice location

2120 Oak Park Blvd
Lake Charles, LA 70601-7864

Mailing address

PO Box 1441
Lake Charles, LA 70602-1441
Phone (337) 474-2878

Other identifiers 3

IdentifierTypeStateIssuer
1112691MedicaidLA
1170721MedicaidLA
1624063MedicaidLA

Other names 1

  • Compassionate Care of Lake Charles Other name

National Provider Directory

National Provider Directory

Locations

2120 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 474-2878

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1548201437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021441",
            "telephone_number": "337-474-2878",
            "fax_number": "337-474-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017864",
            "telephone_number": "337-474-2878",
            "fax_number": "337-474-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE COVENANT ADULT DAY HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-474-2878",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "LA",
            "license": "12843",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112691",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170721",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care of Lake Charles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.