Organization Active NPI

Acadiana Community Based Services Inc.

  • Home Health Agency
  • Lafayette, LA
National Provider Identifier
1952379620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PCA 8202 Issued in 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy Larry Mankin
Title
President
Phone
(337) 261-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PCA 8202 LA Primary

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

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Community Based Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

412 W University Ave
Ste 105
Lafayette, LA 70506
Phone (337) 261-1571

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952379620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W UNIVERSITY AVE",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063671",
            "telephone_number": "337-261-1571",
            "fax_number": "337-261-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W UNIVERSITY AVE",
            "address_2": "SUITE 105",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063671",
            "telephone_number": "337-261-1571",
            "fax_number": "337-261-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA COMMUNITY BASED SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANKIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-261-1571"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 8202",
            "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 Aug 22, 2020; 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.