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ST. CECILIA FAMILY CARE CLINIC
NPI 1336965508
Clinic/Center - Rural Health in Henderson, LA

Active since December 03, 2024CLIA 19D2313054 · Waiver
2825 GRAND POINT HWY LOT 6, HENDERSON, LA 70517(337) 454-6238(337) 408-1198 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Cecilia Family Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CECILIA FAMILY CARE CLINIC (NPI 1336965508) is a healthcare organization registered as a rural health in Henderson, Louisiana and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Antoinette Rabenaldt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1336965508
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePEDIATRIC GROUP OF ACADIANA LLC
Location Address2825 GRAND POINT HWY LOT 6Henderson, LA 70517-6972
Mailing Address302 Hacker StNew Iberia, LA 70560-4508 · (337) 330-2576 · Fax (337) 321-6295
Phone(337) 454-6238
Fax(337) 408-1198
Organization SubpartNo
Authorized OfficialAntoinette RabenaldtCredentialing Coordinator · (337) 330-2576
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1336965508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2825 GRAND POINT HWY LOT 6, Henderson, LA 70517
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Other Names 1

Doing Business AsSt. Cecilia Family Care Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2313054

St Cecilia Family Care Clinic · Henderson, LA
Active · expires Oct 22, 2026
CLIA Number19D2313054
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorAtwi Jibran
Laboratory Phone(337) 704-7330
Laboratory LocationSt Cecilia Family Care Clinic2825 Grand Point Hwy Suite 6, Henderson, LA 70517
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROSS MICHAEL DUGAS FNP-BC
Nurse Practitioner (Family)
2825 GRAND POINT HWY LOT 6
HENDERSON, LA 70517
St. Martin Parish (337) 454-6238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Group Of Acadiana LLC's NPI number?

The NPI number for Pediatric Group Of Acadiana LLC is 1336965508. It was assigned to this organization in the NPPES registry on December 3, 2024. The provider is doing business as St. Cecilia Family Care Clinic.

Where is Pediatric Group Of Acadiana LLC located?

Pediatric Group Of Acadiana LLC is located at 2825 Grand Point Hwy Lot 6, Henderson, LA 70517. The listed phone number is (337) 454-6238.

What is Pediatric Group Of Acadiana LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Pediatric Group Of Acadiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2313054) is associated with this NPI, valid through October 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Group Of Acadiana LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.