RUSH MEDICAL - LAFAYETTE, LLC (NPI# 1609239508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609239508 |
| Entity Type | Organization |
| Organization Name | RUSH MEDICAL - LAFAYETTE, LLC |
| Practice Address |
4540 Ambassador Caffery Pkwy Ste. B110 Lafayette LA 70508-6928 |
| Mailing Address |
115 Penn Warren Dr Ste 300-280 Brentwood TN 37027-5047 |
| Practice Telephone | 3377069073 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278387 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | MICHAEL CARTWRIGHT (CHAIRMAN) |
| Authorized Official Telephone | 6157278387 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY STE. B110 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1316352164 | Rush Medical | General Practice | 4540 Ambassador Caffery Pkwy, Suite B-110, Lafayette, LA 70508-6928 | 2014-06-30 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1104145507 | Kayla S Fanguy | Counselor | 4540 Ambassador Caffery Pkwy, Bldg. D, Suite B-220, Lafayette, LA 70508-6928 | 2010-05-25 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
| 1578707097 | Katherine L Lloyd | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite 220, Lafayette, LA 70508-6928 | 2009-04-28 |
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|---|---|---|---|---|
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| 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 |
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| 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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| 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 |
| 1497007694 | Victory Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 111 Liberty Ave, Lafayette, LA 70508-6821 | 2012-10-11 |
| 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 |
| 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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| 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.