GUIDING LIGHT PERSONAL CARE SERVICESS, LLC (AUDUBON PCA SERVICES) - NPI NUMBER 1033552922

Summary

Provider Name: GUIDING LIGHT PERSONAL CARE SERVICESS, LLC (AUDUBON PCA SERVICES)

NPI Number: 1033552922

Clasification: Hospice Care, Community Based (251G00000X)

Address:
401 AUDUBON BLVD
STE 204B
LAFAYETTE, LA
ZIP 70503

Phone Number: (225) 993-0062



Detailed Information

GUIDING LIGHT PERSONAL CARE SERVICESS, LLC is a community based hospice care in Lafayette, LA. The assigned NPI number for this provider is 1033552922 and is registered as an organization entity type.
The provider Is Doing Business As Audubon Pca Services.

The provider's business address is:

401 AUDUBON BLVD
STE 204B
LAFAYETTE, LA
ZIP 70503-676
Phone: (225) 993-0062
Fax: (225) 924-0855

The provider's authorized official is Lashawnda Richardson .
The authorized official title is Owner and has the following contact phone number (225) 993-0062.

The enumeration date for this NPI number is 4/10/2013 and was last updated on 4/11/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251G00000X Hospice Care, Community Based Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1033552922 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name GUIDING LIGHT PERSONAL CARE SERVICESS, LLC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name AUDUBON PCA SERVICES Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 401 AUDUBON BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address STE 204B The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name LAFAYETTE The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name LA The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 705032676 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 2259930062 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 2259240855 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 4/10/2013 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 4/11/2013 The date that a record was last updated or changed.
17 Authorized Official Last Name RICHARDSON The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name LASHAWNDA The first name of the authorized official.
19 Authorized Official Title or Position OWNER The title or position of the authorized official.
20 Authorized Official Telephone Number 2259930062 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 251G00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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