PEDIATRUST ACADIANA, LLC


Address: 331 Doucet Rd, Lafayette, LA 70503-3447
Phone: 2256656555

PEDIATRUST ACADIANA, LLC (NPI# 1174120612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174120612
Entity Type Organization
Organization Name PEDIATRUST ACADIANA, LLC
Practice Address 331 Doucet Rd
Lafayette
LA 70503-3447
Mailing Address 6700 Jefferson Hwy Ste 12
Baton Rouge
LA 70806-8287
Practice Telephone 2256656555
Mailing Telephone 2252527633
Mailing Fax Number 2253045466
Enumeration Date 2020-10-07
Last Update Date 2020-10-07
Authorized Official Name LEANN CRAIG (OWNER)
Authorized Official Telephone 2252527633
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM3000X Clinic/Center
Specialization: Medically Fragile Intants and Children Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 331 DOUCET RD
City LAFAYETTE
State LA
Zip Code 70503-3447

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1023654712 Louisiana Cardiac Vascular and Pulmonary Rehab LLC Registered Nurse 2701 Johnston Street, Ste 100, Lafayette, LA 70503 2019-11-18
1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
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1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
1235601766 Frances Chauvin, Dds, LLC Dentist 229 Bendel Rd., Lafayette, LA 70503 2018-12-21
1710456116 Affordable Caregivers, Inc. In Home Supportive Care 515 South College Rd., Suite 125, Lafeyette, LA 70503 2018-11-15
1366911778 Taylor Callais-rusich Counselor 142 Ridgeway Dr., 201, Lafayette, LA 70503 2018-11-14
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Taxonomy Information

Taxonomy Code 261QM3000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medically Fragile Intants and Children Day Care

Taxonomy Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629474192 Thibodaux Pdhc, LLC Clinic/Center 124 Sucre Ln, Thibodaux, LA 70301-4214 2014-11-11
1194120063 Pediatria Healthcare, LLC Clinic/Center 6459 Riverside Dr, Metairie, LA 70003-3206 2014-11-04
1457753808 Prescribed Pediatric Extended Center Inc Clinic/Center 2644 N Causeway Blvd, Suite 100, Metairie, LA 70002-6055 2014-09-17
1265844013 Prescribed Pediatric Extended Care, Inc Clinic/Center 5505 Jackson St, Alexandria, LA 71303-2324 2014-05-28
1467883181 Caring Hands Pediatric Day Health Center, LLC Clinic/Center 1009 Professional Dr W, Shreveport, LA 71105-5624 2013-12-05
1568896561 Lauve's Pdhc, LLC Clinic/Center 2000 E Texas St, Bossier City, LA 71111-3830 2013-08-26
1619300506 Prescribed Pediatric Extended Care, Inc Clinic/Center 2570 Sw Railroad Ave, Hammond, LA 70403-1514 2013-08-14
1598029092 In Loving Arms, LLC Clinic/Center 6637 N Foster Dr, Baton Rouge, LA 70811-6164 2012-06-28
1093172058 Pelican Pediatric Day Health Care Center, LLC Clinic/Center 400 Martin Luther King Jr Dr, Suite F, Natchitoches, LA 71457-4056 2016-01-21
1922409069 Pediatria Healthcare, LLC Clinic/Center 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 2014-09-09
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Competitor

Search similar providers

City LAFAYETTE
Zip Code 70503

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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