LAFAYETTE COUNCIL ON AGING, INC. (NPI# 1679761530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679761530 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE COUNCIL ON AGING, INC. |
| Other Organization Name | PERSONAL CARE ATTENDANT |
| Practice Address |
160 Industrial Pkwy Lafayette LA 70508-8309 |
| Practice Telephone | 3372625990 |
| Practice Fax Number | 3372621365 |
| Mailing Telephone | 3372625990 |
| Mailing Fax Number | 3372621365 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| 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 | 385H00000X | Respite Care | RC 13001 | LA | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Personal Care Attendant | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417153503 | Lafayette Council On Aging, Inc. | Clinic/Center | 160 Industrial Pkwy, 1921 A Dulles, Lafayette, LA 70508-8309 | 2007-06-25 |
| 1679737639 | Lafayette Council On Aging, Inc. | Nursing Care | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2008-07-17 |
| 1750579611 | Lafayette Council On Aging, Inc. | Technician | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
| Street Address |
160 INDUSTRIAL PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417153503 | Lafayette Council On Aging, Inc. | Clinic/Center | 160 Industrial Pkwy, 1921 A Dulles, Lafayette, LA 70508-8309 | 2007-06-25 |
| 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 |
| 1750579611 | Lafayette Council On Aging, Inc. | Technician | 160 Industrial Pkwy, Lafayette, LA 70508-8309 | 2007-10-04 |
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|---|---|---|---|---|
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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 |
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| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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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.