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ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT INC. NPI 1457413635


NPI Information

NPI: 1457413635
Provider Name: ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 19D0971229

Address:
809 MARTIN LUTHER KING JR DR
LAFAYETTE, LA
ZIP 70501
Phone: (337) 233-2437
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ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC. is a substance abuse rehabilitation facility in Lafayette, LA. The provider is 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. ACADIANA CONCERN FOR AIDS RELIEF EDUCATION AND SUPPORT, INC. NPI is 1457413635. The provider is registered as an organization entity type.

The provider's business location address is:

809 MARTIN LUTHER KING JR DR
LAFAYETTE, LA
ZIP 70501-884
Phone: (337) 233-2437
Fax: (337) 235-4178

The provider's authorized official is Claude Martin .
The authorized official title is Executive Director and has the following contact phone number (337) 233-2437.

The CLIA number assigned to this NPI record is 19D0971229 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementCM4010LOUISIANANo
2261Q00000XClinic/CenterNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4324500000XSubstance Abuse Rehabilitation FacilitySA0008130LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11109711MEDICAIDLOUISIANA
2600749121OTHERLOUISIANAMGL MIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.