NPIMap

Organization Active NPI

Association of Retarded Citizens of Evangeline, Inc

  • Nursing Facility/Intermediate Care Facility
  • Ville Platte, LA
National Provider Identifier
1043434715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
568 Issued in LA
Legal business name
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC
Practice address
310 Northwest Railroad St
Ville Platte, LA 70586
Phone
(337) 363-5553
Fax
(337) 363-5974
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carolyn Deranger
Title
Office Manager
Phone
(337) 363-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 568 LA Primary

Addresses

Primary practice location

310 Northwest Railroad St
Ville Platte, LA 70586

Mailing address

PO Box 677
Ville Platte, LA 70586-0677
Phone (337) 363-5553

Other identifiers 1

IdentifierTypeStateIssuer
1718173MedicaidLA

Other names 1

  • West Magnolia Group Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Association of Retarded Citizens of Evangeline Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043434715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860677",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NORTHWEST RAILROAD ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERANGER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-363-5553"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718173",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Magnolia Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, 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.

Verify at the official NPI Registry.