NPIMap

Organization Active NPI

Calcasieu Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Lake Charles, LA
National Provider Identifier
1063411296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2466 Issued in LA
Legal business name
CALCASIEU ASSOCIATION FOR RETARDED CITIZENS
Practice address
4100 SN J Bennett Johnston Avenue
Lake Charles, LA 70615-5166
Phone
(337) 433-0398
Fax
(337) 489-1886
NPI assigned
Jul 19, 2005
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
Dr. Howard Stroud Jr., EDD
Title
Executive Director
Phone
(337) 433-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2466 LA Primary

Addresses

Primary practice location

4100 SN J Bennett Johnston Avenue
Lake Charles, LA 70615-5166

Mailing address

4100 SN J Bennett Johnston Ave
Lake Charles, LA 70615-5166
Phone (337) 433-0398

Other identifiers 15

IdentifierTypeStateIssuer
1460061MedicaidLA
1715476MedicaidLA
1931551MedicaidLA
1715662MedicaidLA
1715816MedicaidLA
1716219MedicaidLA
1913588MedicaidLA
1915866MedicaidLA
1955957MedicaidLA
1955965MedicaidLA
1435171MedicaidLA
1666289MedicaidLA
1715824MedicaidLA
1716065MedicaidLA
1815866MedicaidLA

Other names 1

  • CARC Other name

National Provider Directory

National Provider Directory
Tax ID family
Calcasieu Assoc for Retarded Citizens Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

4100 Sen J Bennett Johnston Ave
Lake Charles, LA 70615
Phone (337) 433-0398

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063411296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SN J BENNETT JOHNSTON AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155166",
            "telephone_number": "337-433-0398",
            "fax_number": "337-489-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 SN J BENNETT JOHNSTON AVENUE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155166",
            "telephone_number": "337-433-0398",
            "fax_number": "337-489-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-433-3620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460061",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715476",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1931551",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715662",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715816",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716219",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913588",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1915866",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955957",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955965",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435171",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666289",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715824",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716065",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1815866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, 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.