1700868569 NPI number — ACADIA ST LANDRY GUEST HOME, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700868569 NPI number — ACADIA ST LANDRY GUEST HOME, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACADIA ST LANDRY GUEST HOME, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700868569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
830 S BROADWAY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHURCH POINT
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70525-4402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-684-6316
Provider Business Mailing Address Fax Number:
337-684-6315

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
830 S BROADWAY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHURCH POINT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70525-4402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-684-6316
Provider Business Practice Location Address Fax Number:
337-684-6315
Provider Enumeration Date:
11/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HENSGENS
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
337-684-6316

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  356 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1514667 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1566462 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30884 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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