Healthcare Provider Details

I. General information

NPI: 1609261981
Provider Name (Legal Business Name): AMIAN CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 02/22/2024
Certification Date: 12/26/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 GOVERNMENT ST
ALEXANDRIA LA
71302
US

IV. Provider business mailing address

1454 SURVEY ST.
LAFAYETTE LA
70501
US

V. Phone/Fax

Practice location:
  • Phone: 318-767-5056
  • Fax: 337-767-5009
Mailing address:
  • Phone: 337-889-5571
  • Fax: 337-889-5576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SHANE E ERWIN
Title or Position: CEO/OWNER
Credential:
Phone: 337-889-5571