Healthcare Provider Details

I. General information

NPI: 1851781595
Provider Name (Legal Business Name): BILTMORE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 GENERAL GARDNER AVE
LAFAYETTE LA
70501-7824
US

IV. Provider business mailing address

202 GENERAL GARDNER AVE
LAFAYETTE LA
70501-7824
US

V. Phone/Fax

Practice location:
  • Phone: 337-232-9457
  • Fax:
Mailing address:
  • Phone: 337-232-9457
  • Fax: 337-232-9459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. BENJAMIN DEVOE
Title or Position: OWNER
Credential:
Phone: 337-232-9457