Acadiana Community Based Services Inc.
Organization Active NPI Home Health Agency · Lafayette, LA
NPI 1952379620 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1952379620
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- PCA 8202 (LA)
- Legal business name
- ACADIANA COMMUNITY BASED SERVICES INC.
- Practice address
- 412 W University Ave
Suite 105
Lafayette, LA 70506-3671 - Phone
- (337) 261-1571
- Fax
- (337) 261-1067
- NPI assigned
- Mar 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Timothy Larry Mankin
- Title
- President
- Phone
- (337) 261-1571
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Acadiana Community Based Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PCA 8202 | LA | Yes |
Addresses
Primary practice location
412 W University Ave
Suite 105
Lafayette, LA 70506-3671
Mailing address
412 W University Ave
Suite 105
Lafayette, LA 70506-3671
Phone (337) 261-1571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1691852 | Medicaid | LA |
Other providers in Lafayette, LA
- Acadiana Center for Behavioral Health LLC
- Acadiana Center for Orthopedic & Occupational
- Acadiana Center LLC
- Acadiana Community Based Services
- Acadiana Community Based Services
- Acadiana Concern for AIDS Relief Education and Support, Inc.
- Acadiana Concern for AIDS Relief Education and Support, Inc.
- Acadiana Counseling Connection, LLC
- Acadiana Employee Assessment & Referral Services, LLC
- Acadiana Endocrinology Clinic LLC
All providers in Lafayette, LA · Home Health Agency in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.