Goodwill Industries of Acadiana, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

ADC8178 Issued in LA

Legal business name

GOODWILL INDUSTRIES OF ACADIANA, INC.

Practice address

1225 Kaliste Saloom Rd
Lafayette, LA 70508-5707

Phone

(337) 769-7650

Fax

(337) 769-7659

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Katherin L Boudreaux

Title

Director of Supported Employmnet

Phone

(337) 769-7650

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Goodwill Industries of Acadiana Inc2 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.

• Goodwill Industries of Acadiana, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, LA
  • NPI 1407172125
  NPD tax ID

Locations

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1841690799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085707",
            "telephone_number": "337-769-7650",
            "fax_number": "337-769-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085707",
            "telephone_number": "337-769-7650",
            "fax_number": "337-769-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF ACADIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "KATHERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF SUPPORTED EMPLOYMNET",
        "authorized_official_telephone_number": "337-769-7650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC8178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2343084",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas M Gonzales, M.D.
• Renee Gabriella Gonzalez
• Jo Dee Goodeaux Broussard, PA
• Macy Goodness, LPC
• Goodwill Industries of Acadiana, Inc.
• Lindsey R Goodyear, NP
• Bhavya H Gopalagowda, M.D.
• Kimberly E Gordon
• Shelby Gordon, LBA
• Adrienne Goree, APRN

• Developmentally Disabled Services Day Training Agency in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.