Provider Demographics
NPI:1225689821
Name:CLHG-ACADIAN LLC
Entity Type:Organization
Organization Name:CLHG-ACADIAN LLC
Other - Org Name:BASILE FAMILY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-580-7504
Mailing Address - Street 1:2932 STAGG AVE
Mailing Address - Street 2:
Mailing Address - City:BASILE
Mailing Address - State:LA
Mailing Address - Zip Code:70515-5560
Mailing Address - Country:US
Mailing Address - Phone:337-432-5552
Mailing Address - Fax:337-432-5553
Practice Address - Street 1:2932 STAGG AVE
Practice Address - Street 2:
Practice Address - City:BASILE
Practice Address - State:LA
Practice Address - Zip Code:70515-5560
Practice Address - Country:US
Practice Address - Phone:337-432-5552
Practice Address - Fax:337-432-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health