MEDICARE: ACADIAN HOME HEALTH CARE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency	1003	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	190031294Z	OTHER	LA	BLUE CROSS BLUE SHIELD OF

General Provider Information

NPI Number	:	1326095209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADIAN HOME HEALTH CARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-233-5764

Provider Business Practice Location Address
First Line	:	3417 PATRICK ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-1715
Country	:	US
Telephone Number	:	337-479-2233
Fax Number	:	337-479-2244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	337-233-1307

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	10/27/2022

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