PEDIATRIC GROUP OF ACADIANA LLC NPI 1336965508

NPI Information

  • NPI: 1336965508
  • Provider Name: PEDIATRIC GROUP OF ACADIANA LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: ST. CECILIA FAMILY CARE CLINIC
  • CLIA Number: 19D2313054
  • Address: 2825 GRAND POINT HWY LOT 6
    HENDERSON, LA
    ZIP 70517
  • Phone: (337) 454-6238

Map and Directions

Get Directions

NPI Details

PEDIATRIC GROUP OF ACADIANA LLC is a rural health clinic center in Henderson, LA. PEDIATRIC GROUP OF ACADIANA LLC NPI is 1336965508. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Cecilia Family Care Clinic.

The provider's business location address is:

2825 GRAND POINT HWY LOT 6
HENDERSON, LA
ZIP 70517-972
Phone: (337) 454-6238
Fax: (337) 408-1198

The provider's authorized official is Antoinette Rabenaldt .
The authorized official title is Credentialing Coordinator and has the following contact phone number (337) 330-2576.

The CLIA number assigned to this NPI record is 19D2313054 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2024 and was last updated on 12/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes
2363LP2300XNurse PractitionerPrimary CareNo

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: 3/30/2025

NPI Synchronization or Removal

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.