Active NPI
Advanced Healthcare Solutions LLC
- Durable Medical Equipment & Medical Supplies
- Lafayette, LA
National Provider Identifier
1902361439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200715001673 | LA | DME Supplier - Medical Supply Company | 0648693234 | Practice locations: Lafayette, LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Certified Registered Nurse Anesthetist
- Lafayette, LA
- NPI 1013102078
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
- Jessica Adkinson, LCSW
- Adrienne Mejias LMFT LLC
- Advance Telehealth Consulting Solutions, LLC
- Advanced Alternative Health Services, LLC
- Advanced Cytology, Inc
- Advanced Healthcare Systems LLC
- Advanced Imaging of Lafayette LLC
- Advanced Laser Equipment, LLC
- Advanced Nursing and Consulting
- Advanced Specialty Pharmacy
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.