Provider Demographics
NPI:1053440123
Name:CADENCE OF ACADIANA, INC.
Entity Type:Organization
Organization Name:CADENCE OF ACADIANA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:R
Authorized Official - Last Name:MIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-593-8899
Mailing Address - Street 1:PO BOX 52784
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2784
Mailing Address - Country:US
Mailing Address - Phone:337-593-8899
Mailing Address - Fax:337-593-0506
Practice Address - Street 1:2036 WOODDALE BLVD
Practice Address - Street 2:SUITE O
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1518
Practice Address - Country:US
Practice Address - Phone:225-927-2400
Practice Address - Fax:225-927-0208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LACM4100251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1112216Medicaid