Active NPI
Arc of Acadiana, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lafayette, LA
National Provider Identifier
1083148381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ARC OF ACADIANA, INC.
- Practice address
- 325 W Broussard Rd
Lafayette, LA 70506-7813 - Phone
- (337) 367-6813
- Fax
- (337) 492-1010
- NPI assigned
- Apr 13, 2017
- 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
- Mrs. Charlotte Cormier Jackson
- Title
- Director of Residential Services
- Phone
- (337) 367-6813
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
325 W Broussard Rd
Lafayette, LA 70506-7813
Mailing address
6400 Highway 90 W
New Iberia, LA 70560-7836
Phone (337) 367-6813
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718106 | Medicaid | LA | |
| 2313061 | Medicaid | LA | |
| 1098914 | Medicaid | LA | |
| 1715131 | Medicaid | LA | |
| 1718637 | Medicaid | LA | |
| 1716391 | Medicaid | LA | |
| 2155059 | Medicaid | LA |
Other names 1
- Hannie Group Home
National Provider Directory
National Provider Directory- Tax ID family
- The Arc of Iberia Inc
Other organizations with this tax ID 31
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- New Iberia, LA
- NPI 1386074227
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New Iberia, LA
- NPI 1629721444
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Iota, LA
- NPI 1740575802
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1053989053
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bossier City, LA
- NPI 1134479066
-
- Intellectual Disabilities Intermediate Care Facility
- Bossier City, LA
- NPI 1285201137
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Rayne, LA
- NPI 1396219101
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Rayne, LA
- NPI 1528613049
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Rayne, LA
- NPI 1578118097
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bossier City, LA
- NPI 1720454200
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bossier City, LA
- NPI 1811366958
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bossier City, LA
- NPI 1902275043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1083148381",
"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",
"fax_number": "337-492-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W BROUSSARD RD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705067813",
"telephone_number": "337-367-6813",
"fax_number": "337-492-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARC OF ACADIANA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-13",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_middle_name": "CORMIER",
"authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
"authorized_official_telephone_number": "337-367-6813",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1718106",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2313061",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1098914",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715131",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1718637",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1716391",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2155059",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hannie Group Home",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.