ACTIVE ADULT DAY HEALTHCARE LLC (NPI# 1639383367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639383367 |
| Entity Type | Organization |
| Organization Name | ACTIVE ADULT DAY HEALTHCARE LLC |
| Practice Address |
333 E Prudhomme St Opelousas LA 70570-6490 |
| Practice Telephone | 3379489067 |
| Practice Fax Number | 3379489064 |
| Mailing Telephone | 3379489067 |
| Mailing Fax Number | 3379489064 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ALICE NJOKI MWAKITAWA (ADMINISTRATOR) |
| Authorized Official Telephone | 3379489067 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1721468 | 05 |
| Street Address |
333 E PRUDHOMME ST |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497988380 | Opelousas Healthcare Properties LLC | Nursing Facility/Intermediate Care Facility | 7941 I-49 S Service Rd, Opelousas, LA 70570-9003 | 2009-08-26 |
| 1912189036 | Our Lady of Prompt Succor | Nursing Facility/Intermediate Care Facility | 954 E Prudhomme St, Opelousas, LA 70570-8239 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929212 | Tender Care Adult Day Care | Nursing Facility/Intermediate Care Facility | 1501 Maura Pl, New Orleans, LA 70131-7912 | 2016-09-01 |
| 1780098798 | Royal Nursing Services, Inc | Nursing Facility/Intermediate Care Facility | 3510 Sugar Mill Rd, New Iberia, LA 70563-8621 | 2014-06-17 |
| 1376806430 | Youree Associates Inc. | Nursing Facility/Intermediate Care Facility | 5506 Camelot Dr, Shreveport, LA 71107-9558 | 2012-06-22 |
| 1538438015 | Tass Brain Injury Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 42215 Pleasant Rg Ext, Ponchatoula, LA 70454-4723 | 2011-12-29 |
| 1144463407 | Northridge Care Center LLC | Nursing Facility/Intermediate Care Facility | 3612 Baker Blvd, Baker, LA 70714-2513 | 2009-04-15 |
| 1457559023 | Paradise Adhc | Nursing Facility/Intermediate Care Facility | 2121 Dulles Rd, Lafayette, LA 70506 | 2007-07-05 |
| 1114123510 | Colette's Nursing & Healthcare | Nursing Facility/Intermediate Care Facility | 2100 3rd St, Suite#9, Kenner, LA 70062-7600 | 2007-06-22 |
| 1437378908 | Louisiana Special Education Center | Nursing Facility/Intermediate Care Facility | 100 Pecan Loop, Alexandria, LA 71303-3753 | 2007-04-24 |
| 1043434715 | Association of Retarded Citizens of Evangeline, Inc | Nursing Facility/Intermediate Care Facility | 310 Northwest Railroad St, Ville Platte, LA 70586 | 2007-04-12 |
| 1679696256 | We Care Homes, Inc | Nursing Facility/Intermediate Care Facility | 922 Alva Dr, Breaux Bridge, LA 70517-6115 | 2007-04-09 |
| 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.