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ANGEL MANOR- BREAUX BRIDGE
NPI 1942330642
Clinic/Center - Adult Day Care in Breaux Bridge, LA

Active since March 06, 2007
329 W BRIDGE ST, BREAUX BRIDGE, LA 70517(337) 332-3421(337) 332-3461 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Manor- Breaux Bridge NPPES

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

ANGEL MANOR- BREAUX BRIDGE (NPI 1942330642) is a healthcare organization registered as an adult day care in Breaux Bridge, Louisiana and active in the NPI registry since March 2007. The organization lists John Samuel Ford, Administrator, as its authorized official.

NPPES Registry Identity

NPI1942330642
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameANGEL MANOR- BREAUX BRIDGE
Location Address329 W BRIDGE STBreaux Bridge, LA 70517-5040
Mailing Address329 W Bridge StBreaux Bridge, LA 70517-5040 · (337) 332-3421 · Fax (337) 332-3461
Phone(337) 332-3421
Fax(337) 332-3461
Organization SubpartNo
Authorized OfficialJohn Samuel FordAdministrator · (337) 332-3421
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942330642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in LA · 251C00000X
329 W BRIDGE ST, Breaux Bridge, LA 70517
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Other Identifiers 1

Medicaid1318744LA

Other Providers at the Same Location NPPES 3

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

THE GLORIA KERN CENTER, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
329 W BRIDGE ST
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-1880
THE GLORIA KERN CENTER, INC.
Substance Abuse Rehabilitation Facility
329 W BRIDGE ST
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-1880
THE GLORIA KERN CENTER, INC.
Substance Abuse Rehabilitation Facility
329 W BRIDGE ST
BREAUX BRIDGE, LA 70517
St. Martin Parish (337) 332-1880

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 Angel Manor- Breaux Bridge's NPI number?

The NPI number for Angel Manor- Breaux Bridge is 1942330642. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Angel Manor- Breaux Bridge located?

Angel Manor- Breaux Bridge is located at 329 W Bridge St, Breaux Bridge, LA 70517. The listed phone number is (337) 332-3421.

What is Angel Manor- Breaux Bridge's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Angel Manor- Breaux Bridge was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.