VICTORY ADDICTION RECOVERY CENTER (NPI# 1497007694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497007694 |
Entity Type | Organization |
Organization Name | VICTORY ADDICTION RECOVERY CENTER |
Practice Address |
111 Liberty Ave Lafayette LA 70508-6821 |
Practice Telephone | 3374569111 |
Practice Fax Number | 3374569131 |
Mailing Telephone | 3374569111 |
Mailing Fax Number | 3374569131 |
Enumeration Date | 2012-10-11 |
Last Update Date | 2013-04-29 |
Authorized Official Name | DAVID A. LEGENDRE (CEO) |
Authorized Official Telephone | 3374569111 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | LA | Residential Treatment Facilities | |
Y | 324500000X | Substance Abuse Rehabilitation Facility | 2203781178 | LA | Residential Treatment Facilities |
Street Address |
111 LIBERTY AVE |
City | LAFAYETTE |
State | LA |
Zip Code | 70508-6821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
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 |
1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
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 |
Find all providers in zip 70508 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
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1528525268 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy Ste C110, Lafayette, LA 70508-6937 | 2019-03-01 |
1669988663 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 2900 N River Rd Ste C, Lafayette, IN 47906-3744 | 2017-12-28 |
1811438773 | Whispering Oaks Lodge- Pinhook | Substance Abuse Rehabilitation Facility | 2020 W Pinhook Rd Ste 401, Lafayette, LA 70508-3212 | 2017-03-13 |
1275993156 | Acadiana Outreach Center | Substance Abuse Rehabilitation Facility | 625 N University, Lafayette, LA 70502 | 2016-03-04 |
1528448560 | Rose Transition Home | Substance Abuse Rehabilitation Facility | 601 Snowpeak Ln, Lafayette, CO 80026-8950 | 2015-06-04 |
1801110408 | Acadiana Outreach Center, Inc. | Substance Abuse Rehabilitation Facility | 625 N. University Ave., Lafayette, LA 70506 | 2010-03-25 |
1730255613 | Sunrise House Foundation | Substance Abuse Rehabilitation Facility | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2006-11-24 |
1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
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1720690811 | Elevate Recovery Project, LLC | Substance Abuse Rehabilitation Facility | 7742 Office Park Blvd Ste C2, Baton Rouge, LA 70809-8636 | 2020-08-19 |
1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
1881233419 | Addiction Solutions LLC | Substance Abuse Rehabilitation Facility | 216 Ouachita Ave Ste B, Monroe, LA 71201-8513 | 2019-12-30 |
1801430962 | Baton Rouge Recovery Health LLC | Substance Abuse Rehabilitation Facility | 3600 Florida Blvd Ste 4t, Baton Rouge, LA 70806-3842 | 2019-11-01 |
1134788797 | Odyssey House Louisiana, Inc | Substance Abuse Rehabilitation Facility | 2700 S. Broad St, New Orleans, LA 70125 | 2019-06-07 |
1518424258 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 4330 Loveland St Ste A, Metairie, LA 70006-4179 | 2019-03-01 |
1346707080 | Lake Wellness Center, LLC | Substance Abuse Rehabilitation Facility | 7434 Picardy Ave Ste A&b, Baton Rouge, LA 70808-7204 | 2019-03-01 |
1588134985 | Whispering Oaks Lodge | Substance Abuse Rehabilitation Facility | 910 Pierremont Rd Ste 103, Shreveport, LA 71106-2058 | 2018-11-28 |
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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.