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Lafayette Arc Resident Service

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lafayette, LA

NPI 1013138023 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013138023
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
301 (LA)
Legal business name
LAFAYETTE ARC RESIDENT SERVICE
Practice address
303 New Hope Rd
Lafayette, LA 70506-7407
Phone
(337) 988-0640
Fax
(337) 988-0813
NPI assigned
May 1, 2007
Organization subpart
No

Authorized official

Name
Mr. Glenn Weber
Title
Director
Phone
(337) 988-6110

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lafayette Association for Retarded Citizens Inc (10 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 301 LA Yes

Addresses

Primary practice location

303 New Hope Rd
Lafayette, LA 70506-7407

Mailing address

303 New Hope Rd
Lafayette, LA 70506-7407
Phone (337) 988-6110

Other identifiers

IdentifierTypeStateIssuer
1715646MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013138023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NEW HOPE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067407",
            "telephone_number": "337-988-6110",
            "fax_number": "337-984-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NEW HOPE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067407",
            "telephone_number": "337-988-0640",
            "fax_number": "337-988-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE ARC RESIDENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-988-6110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715646",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

All providers in Lafayette, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.