NPIMap

Organization Active NPI

Luci,S Troop LTC LLC

  • PACE Provider Organization
  • Lafayette, LA
National Provider Identifier
1568773299
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
LUCI,S TROOP LTC LLC
Practice address
111 Rubria St
Lafayette, LA 70501-1735
Phone
(337) 234-7031
Fax
(337) 261-0524
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mrs. Luciana St. Julien
Title
Owner/Director
Phone
(337) 234-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

111 Rubria St
Lafayette, LA 70501-1735

Mailing address

111 Rubria St
Lafayette, LA 70501
Phone (337) 234-7031

Other identifiers 1

IdentifierTypeStateIssuer
1720968MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Luci'S Troop LTC LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1568773299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RUBRIA ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70501",
            "telephone_number": "337-234-7031",
            "fax_number": "337-261-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RUBRIA ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011735",
            "telephone_number": "337-234-7031",
            "fax_number": "337-261-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCI,S TROOP LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "ST. JULIEN",
        "authorized_official_first_name": "LUCIANA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "337-234-7031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720968",
            "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 Jun 28, 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.