Organization Active NPI

Heritage Road Group Home

  • Intellectual Disabilities Intermediate Care Facility
  • Rayne, LA
National Provider Identifier
1013889880
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
HERITAGE ROAD GROUP HOME
Practice address
3779 Heritage Rd
Rayne, LA 70578-7750
Phone
(337) 367-6813
NPI assigned
Sep 22, 2025
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ARC OF ACADIANA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandi Lee Book Stutes
Title
Residential Director
Phone
(337) 367-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

3779 Heritage Rd
Rayne, LA 70578-7750

Mailing address

6400 Highway 90 W
New Iberia, LA 70560-7836
Phone (337) 367-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013889880. Details of each certification follow.

  • CCN 19G340 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G340

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Heritage Road Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 20, 1989
Last certification
Dec 15, 2025
Beds
8
Ownership / control type
Private (non-profit)
Most recent change of ownership
Jul 1, 2003
Facility address
3779 Heritage Road
Rayne, LA 70578

National Provider Directory

National Provider Directory
Tax ID family
Arc of Acadiana32 organizations share this tax ID, including this one
Part of
Arc of Acadiana

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1013889880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 HIGHWAY 90 W",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705607836",
            "telephone_number": "337-367-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 HERITAGE RD",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705787750",
            "telephone_number": "337-367-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ROAD GROUP HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC OF ACADIANA, INC",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "STUTES",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LEE BOOK",
        "authorized_official_title_or_position": "RESIDENTIAL DIRECTOR",
        "authorized_official_telephone_number": "337-367-6813"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

Verify at the official NPI Registry.