LAFAYETTE COUNCIL ON AGING, INC. (NPI# 1417153503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417153503 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE COUNCIL ON AGING, INC. |
| Other Organization Name | DAYBREAK ADULT DAY HEALTH CARE |
| Practice Address |
160 Industrial Pkwy 1921 A Dulles Lafayette LA 70508-8309 |
| Practice Telephone | 3372625990 |
| Practice Fax Number | 3372621365 |
| Mailing Telephone | 3372625990 |
| Mailing Fax Number | 3372621365 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-07-17 |
| Authorized Official Name | MR. LARRY W. BAKER (DIRECTOR OF PROGRAMS AND PERSONNEL) |
| Authorized Official Telephone | 3372625990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADHC2671 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1622524 | 05 |
| Other Name | Type Code |
|---|---|
| Daybreak Adult Day Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679737639 | Lafayette Council On Aging, Inc. | Nursing Care | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2008-07-17 |
| 1679761530 | Lafayette Council On Aging, Inc. | Respite Care | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
| 1750579611 | Lafayette Council On Aging, Inc. | Technician | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
| Street Address |
160 INDUSTRIAL PKWY 1921 A DULLES |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073811626 | Linda A. Carmouche | Social Worker | 160 Industrial Pkwy, # 109, Lafayette, LA 70508-8309 | 2011-03-07 |
| 1679737639 | Lafayette Council On Aging, Inc. | Nursing Care | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2008-07-17 |
| 1457529711 | Lafayette Council On Aging | Homemaker | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2008-02-20 |
| 1497923973 | Family Centered Services, Inc. | Community/Behavioral Health | 160 Industrial Pkwy, # 110, Lafayette, LA 70508-8309 | 2008-02-18 |
| 1679761530 | Lafayette Council On Aging, Inc. | Respite Care | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
| 1750579611 | Lafayette Council On Aging, Inc. | Technician | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
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| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
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| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
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| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1013563691 | Compassionate At Heart LLC | Clinic/Center | 6324 Farrel Dr, Slidell, LA 70460-3927 | 2019-08-10 |
| 1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
| 1770146987 | North Tangi Adult Day Care | Clinic/Center | 1005 Nw Central Ave, Amite, LA 70422-5723 | 2019-04-15 |
| 1740741388 | Mary Lees House of Love Adult Day Healthcare | Clinic/Center | 403 Church Street, Melville, LA 71353 | 2019-03-27 |
| 1144701517 | The Hand-up Program, Inc. | Clinic/Center | 5224 Dickens Dr, Baton Rouge, LA 70812-3403 | 2018-08-23 |
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| 1184154858 | The Guild At Raphael Village LLC | Clinic/Center | 500 Soraparu Street, New Orleans, LA 70130 | 2017-06-15 |
| 1063802379 | Chez Elma Adult Day Health Care Center Inc | Clinic/Center | 154 N Hollywood Rd Ste C, Houma, LA 70364-2806 | 2015-01-26 |
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| 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.