Acadiana Community Based Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

8203 Issued in LA

Legal business name

ACADIANA COMMUNITY BASED SERVICES

Practice address

412 W University Ave
Suite 105
Lafayette, LA 70506-3671

Phone

(337) 261-1571

Fax

(337) 261-1067

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Larry Mankin

Title

President

Phone

(337) 261-1571

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Acadiana Community Based Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Acadiana Community Based Services

  • Home Health Agency
  • Lafayette, LA
  • NPI 1831105253
  NPD tax ID
• Acadiana Community Based Services Inc.

  • Home Health Agency
  • Lafayette, LA
  • NPI 1952379620
  NPD tax ID

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740296169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W UNIVERSITY AVE",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063671",
            "telephone_number": "337-261-1571",
            "fax_number": "337-261-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W UNIVERSITY AVE",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063671",
            "telephone_number": "337-261-1571",
            "fax_number": "337-261-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA COMMUNITY BASED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-261-1571"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1691844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acadiana Cardiology
• Acadiana Cares Health
• Acadiana Center for Behavioral Health LLC
• Acadiana Center for Orthopedic & Occupational
• Acadiana Center LLC
• Acadiana Community Based Services
• Acadiana Community Based Services Inc.
• Acadiana Concern for AIDS Relief Education and Support, Inc.
• Acadiana Concern for AIDS Relief Education and Support, Inc.
• Acadiana Counseling Connection, LLC

• All providers in Lafayette, LA
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.