Active NPI
The Arc of Iberia, Inc.
- Developmentally Disabled Services Day Training Agency
- New Iberia, LA
National Provider Identifier
1013948520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- ADC 8985
- Legal business name
- THE ARC OF IBERIA, INC.
- Practice address
- 623 Walton St
New Iberia, LA 70560-4446 - Phone
- (337) 364-7215
- Fax
- (337) 364-5231
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Patton
- Title
- Executive Director
- Phone
- (337) 367-6813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | ADC 8985 | LA | Primary |
Addresses
Primary practice location
623 Walton St
New Iberia, LA 70560-4446
Mailing address
3716 Redwood Dr
New Iberia, LA 70560-3379
Phone (337) 367-6813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1934941 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- The Arc of Iberia Inc
Other organizations with this tax ID 31
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- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013948520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3716 REDWOOD DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603379",
"telephone_number": "337-367-6813",
"fax_number": "337-367-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 WALTON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604446",
"telephone_number": "337-364-7215",
"fax_number": "337-364-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF IBERIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PATTON",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "337-367-6813"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "LA",
"license": "ADC 8985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1934941",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.