Healthcare Provider Details

I. General information

NPI: 1447184098
Provider Name (Legal Business Name): ADAPTIVE HOMES OF ACADIANA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5717 DEBUSE RD
ERATH LA
70533-5450
US

IV. Provider business mailing address

5717 DEBUSE RD
ERATH LA
70533-5450
US

V. Phone/Fax

Practice location:
  • Phone: 337-361-0414
  • Fax:
Mailing address:
  • Phone: 337-361-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA WILLIAM THIBEAUX
Title or Position: OWNER/MEMBER
Credential:
Phone: 337-517-5992