ANGEL MANOR, LLC. (NPI# 1023143963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023143963 |
| Entity Type | Organization |
| Organization Name | ANGEL MANOR, LLC. |
| Practice Address |
708 S Washington St Lafayette LA 70501-6810 |
| Practice Telephone | 3372327761 |
| Practice Fax Number | 3372327762 |
| Mailing Telephone | 3372327761 |
| Mailing Fax Number | 3372327762 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN SAMUEL FORD JR. (ADMINISTRATOR) |
| Authorized Official Telephone | 3372327761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
251C00000X | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1134490 | 05 |
| Street Address |
708 S WASHINGTON ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962731216 | Angel Manor LLC | Day Training, Developmentally Disabled Services | 708 S Washington St, Lafayette, LA 70501-6810 | 2009-12-16 |
| 1194990879 | Angel Manor | Day Training, Developmentally Disabled Services | 708 S Washington St, Lafayette, LA 70501-6810 | 2008-04-24 |
| 1942376108 | Angel Manor PCs LLC | Day Training, Developmentally Disabled Services | 708 S Washington St, Lafayette, LA 70501-6810 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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|---|---|---|---|---|
| 1992965040 | Active Day In Inc | Clinic/Center | 3922 Mezzanine Drive, Lafayette, IN 47905 | 2008-06-12 |
| 1417153503 | Lafayette Council On Aging, Inc. | Clinic/Center | 160 Industrial Pkwy, 1921 A Dulles, Lafayette, LA 70508-8309 | 2007-06-25 |
| 1669859278 | Franciscan Pace | Clinic/Center | 501 W Saint Mary Blvd, Suite 200, Lafayette, LA 70506-4600 | 2015-05-04 |
| 1114217890 | Alternative Home Care Specialists, Inc. | Clinic/Center | 1531 Ambassador Caffery Pkwy, Lafayette, LA 70506-1825 | 2011-04-14 |
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|---|---|---|---|---|
| 1912516162 | Silver Lining Adult Day Health Care LLC | Clinic/Center | 3419 Nw Evangeline Trwy Ste B7, Carencro, LA 70520-6241 | 2020-07-23 |
| 1275165862 | Jacinda Meadors | Clinic/Center | 1059 Mcdonald St, Haynesville, LA 71038-5235 | 2020-02-11 |
| 1013563691 | Compassionate At Heart LLC | Clinic/Center | 6324 Farrel Dr, Slidell, LA 70460-3927 | 2019-08-10 |
| 1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
| 1770146987 | North Tangi Adult Day Care | Clinic/Center | 1005 Nw Central Ave, Amite, LA 70422-5723 | 2019-04-15 |
| 1740741388 | Mary Lees House of Love Adult Day Healthcare | Clinic/Center | 403 Church Street, Melville, LA 71353 | 2019-03-27 |
| 1144701517 | The Hand-up Program, Inc. | Clinic/Center | 5224 Dickens Dr, Baton Rouge, LA 70812-3403 | 2018-08-23 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| 1184154858 | The Guild At Raphael Village LLC | Clinic/Center | 500 Soraparu Street, New Orleans, LA 70130 | 2017-06-15 |
| 1063802379 | Chez Elma Adult Day Health Care Center Inc | Clinic/Center | 154 N Hollywood Rd Ste C, Houma, LA 70364-2806 | 2015-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.