NPIMap

Organization Active NPI

Southern Magnolia House Adult Day Healthcare

  • Adult Day Care Clinic/Center
  • Lafayette, LA
National Provider Identifier
1740072263
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SOUTHERN MAGNOLIA HOUSE ADULT DAY HEALTHCARE
Practice address
2121 Dulles Dr
Lafayette, LA 70506-2652
Phone
(337) 484-3221
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Mr. Troy Cloutier
Title
Owner
Phone
(985) 860-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2121 Dulles Dr
Lafayette, LA 70506-2652

Mailing address

105 English Gardens Pkwy
Lafayette, LA 70503-5679
Phone (985) 860-1236

Other practice location 1

1606 I-49 Service Road
Grand Coteau, LA 70541
Phone (337) 662-5944

National Provider Directory

National Provider Directory

Locations

2121 Dulles Dr
Lafayette, LA 70506
Phone (337) 484-3221

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1740072263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ENGLISH GARDENS PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035679",
            "telephone_number": "985-860-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062652",
            "telephone_number": "337-484-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 I-49 Service Road",
            "address_purpose": "LOCATION",
            "city": "Grand Coteau",
            "state": "LA",
            "postal_code": "70541",
            "country_code": "US",
            "telephone_number": "337-662-5944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MAGNOLIA HOUSE ADULT DAY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-11",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-860-1236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "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 May 20, 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.