Audubon Hospice of Lafayette, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AUDUBON HOSPICE OF LAFAYETTE, INC

Practice address

221 Rue de Jean Ste 205
Lafayette, LA 70508-3283

Phone

(337) 541-1000

Fax

(337) 236-6603

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Woodrow Banker Jr., RN

Title

Owner/President

Phone

(225) 218-8009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Hospice certification: CCN 191665

Legal name

AUDUBON HOSPICE OF LAFAYETTE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 8, 2009

Last certification

Jun 22, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

CorporationProprietary

Incorporated

Oct 8, 2019 in LA

Enrollment address

221 Rue de Jean
Ste 205
Lafayette, LA 70508-3283

Listed as

Audubon Hospice of Lafayette, IncCCN 191665

Ownership

For-Profit

Certified

Oct 8, 2009

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Rick Joe Faul, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1861855371

  Contracted Managing Employee

  CMS ownership
• Jason D. Landry, M.D.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1114135829

  Contracted Managing Employee

  CMS ownership

Change-of-ownership history 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason D. Landry, M.D.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1114135829
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jason D. Landry, M.D.

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1114135829

  Hospice

  Care Compare affiliation
• John Matthew Rainey, M.D.

  • Family Medicine Physician
  • Eunice, LA
  • NPI 1073724514

  Hospice

  Care Compare affiliation
• Cesar Augusto Ramirez Astacio, M.D

  • Internal Medicine Physician
  • New Iberia, LA
  • NPI 1336359033

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1942471230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 INTERLINE AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-218-8009",
            "fax_number": "225-237-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RUE DE JEAN STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083283",
            "telephone_number": "337-541-1000",
            "fax_number": "337-236-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDUBON HOSPICE OF LAFAYETTE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-218-8009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Harper Aucoin, LOTR
• Martin John Audiffred, MS, CCC-A
• Audiology Associates of Acadiana
• Audubon Family Medicine LLC
• Audubon Home Health South Inc
• Audubon Pca Services
• Eva L Auguillard, LPN
• Catherine August
• Courtnie August
• Katrina August, BS

• Community Based Hospice Care Agency in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.