ANGEL MANOR- BREAUX BRIDGE NPI 1942330642

NPI Information

  • NPI: 1942330642
  • Provider Name: ANGEL MANOR- BREAUX BRIDGE
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Address: 329 W BRIDGE ST
    BREAUX BRIDGE, LA
    ZIP 70517
  • Phone: (337) 332-3421

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NPI Details

ANGEL MANOR- BREAUX BRIDGE is an adult day care clinic center in Breaux Bridge, LA. ANGEL MANOR- BREAUX BRIDGE NPI is 1942330642. The provider is registered as an organization entity type.

The provider's business location address is:

329 W BRIDGE ST
BREAUX BRIDGE, LA
ZIP 70517-040
Phone: (337) 332-3421
Fax: (337) 332-3461

The provider's authorized official is John Samuel Ford .
The authorized official title is Administrator and has the following contact phone number (337) 332-3421.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

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
1261QA0600XClinic/CenterAdult Day Care251C00000XLOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11318744MEDICAIDLOUISIANA

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: 11/21/2025

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