Organization Active NPI

Advanced Healthcare Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
National Provider Identifier
1902361439
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED HEALTHCARE SOLUTIONS LLC
Practice address
100 Asma Blvd
Ste 212-E
Lafayette, LA 70508-3858
Phone
(337) 534-8306
Fax
(337) 534-8316
NPI assigned
Feb 8, 2019
Last updated
Nov 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Jacob Paul Broussard
Title
Owner
Phone
(337) 534-8306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

100 Asma Blvd
Ste 212-E
Lafayette, LA 70508-3858

Mailing address

100 Asma Blvd. Mailbox 588
Suite 203-E
Lafayette, LA 70508
Phone (337) 534-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200715001673 LA DME Supplier - Medical Supply Company 0648693234 Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

100 Asma Blvd
Ste 203E
Lafayette, LA 70508
Phone (337) 534-8306

100 Asma Blvd
Ste 212E
Lafayette, LA 70508
Phone (337) 534-8306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1902361439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD. MAILBOX 588",
            "address_2": "SUITE 203-E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-534-8306",
            "fax_number": "337-534-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ASMA BLVD",
            "address_2": "STE 212-E",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083858",
            "telephone_number": "337-534-8306",
            "fax_number": "337-534-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-534-8306"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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 Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.