OrganizationActive
Ageless Independence Center Corp
NPI 1720392715 · Community/Behavioral Health Agency · Lafayette, LA
Provider details
- NPI number
- 1720392715
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gwendolyn Caillier, Director(337) 654-5519
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Surrey St
Lafayette, LA 70501-6142
Phone: (337) 654-5519
Street-level locationGet directions
Mailing address
500 Surrey St
Lafayette, LA 70501-6134
Registry dates
- Enumerated
- 2010-08-02
- Last updated
- 2010-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.