Organization Active NPI

Lafayette Council on Aging, Inc.

  • Nursing Care Agency
  • Lafayette, LA
National Provider Identifier
1679737639
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
14023 Issued in LA
Legal business name
LAFAYETTE COUNCIL ON AGING, INC.
Practice address
160 Industrial Pkwy
Lafayette, LA 70508-8309
Phone
(337) 262-5990
Fax
(337) 262-1365
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Mr. Larry W. Baker
Title
Director of Programs
Phone
(337) 262-5990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 14023 LA Primary

Addresses

Primary practice location

160 Industrial Pkwy
Lafayette, LA 70508-8309

Mailing address

160 Industrial Parkway
Lafayette, LA 70508
Phone (337) 262-5990

Other identifiers 1

IdentifierTypeStateIssuer
1979848MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Council on Ag4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1679737639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 INDUSTRIAL PARKWAY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-262-5990",
            "fax_number": "337-262-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 INDUSTRIAL PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088309",
            "telephone_number": "337-262-5990",
            "fax_number": "337-262-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE COUNCIL ON AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "337-262-5990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "LA",
            "license": "14023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979848",
            "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 Jul 17, 2008; 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.