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

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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
1 NPI 1033552922
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name GUIDING LIGHT PERSONAL CARE SERVICESS, LLC
5 Provider Other Organization Name AUDUBON PCA SERVICES
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 401 AUDUBON BLVD
8 Provider Second Line Business Practice Location Address STE 204B
9 Provider Business Practice Location Address City Name LAFAYETTE
10 Provider Business Practice Location Address State Name LA
11 Provider Business Practice Location Address Postal Code 705032676
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2259930062
14 Provider Business Practice Location Address Fax Number 2259240855
15 Provider Enumeration Date 4/10/2013
16 Last Update Date 4/11/2013
17 Authorized Official Last Name RICHARDSON
18 Authorized Official First Name LASHAWNDA
19 Authorized Official Title or Position OWNER
20 Authorized Official Telephone Number 2259930062
21 Healthcare Provider Taxonomy Code 1 251G00000X
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N

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This page was last updated on: 3/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.