Active NPI
The Arc of East Ascension
- Child Intellectual and/or Developmental Disabilities Respite Care
- Gonzales, LA
National Provider Identifier
1083934756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- RC 13060
- Legal business name
- THE ARC OF EAST ASCENSION
- Practice address
- 1122 E Ascension Complex Blvd
Gonzales, LA 70737-4265 - Phone
- (225) 621-2000
- Fax
- (225) 621-2022
- NPI assigned
- Jun 4, 2010
- 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
- Mr. Darryl Hambrick
- Title
- President
- Phone
- (225) 647-5711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | RC 13060 | LA | Primary |
Addresses
Primary practice location
1122 E Ascension Complex Blvd
Gonzales, LA 70737-4265
Mailing address
1122 E Ascension Complex Blvd
Gonzales, LA 70737-4265
Phone (225) 621-2000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639391964 | Medicaid | LA | |
| 1093937328 | Medicaid | LA | |
| 1285856518 | Medicaid | LA | |
| 1356563688 | Medicaid | LA | |
| 1982721247 | Medicaid | LA | |
| 1902028236 | Medicaid | LA | |
| 1265654594 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Community Opportunities of E Ascension
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1265654594
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1093937328
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1285856518
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1356563688
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1639391964
-
- Adult Day Care Clinic/Center
- Gonzales, LA
- NPI 1679888358
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1902028236
-
- Developmentally Disabled Services Day Training Agency
- Gonzales, LA
- NPI 1982721247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275609600000",
"number": "1083934756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E ASCENSION COMPLEX BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374265",
"telephone_number": "225-621-2000",
"fax_number": "225-621-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E ASCENSION COMPLEX BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374265",
"telephone_number": "225-621-2000",
"fax_number": "225-621-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF EAST ASCENSION",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2010-06-04",
"status": "A",
"authorized_official_last_name": "HAMBRICK",
"authorized_official_first_name": "DARRYL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-647-5711",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "LA",
"license": "RC 13060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639391964",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093937328",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285856518",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356563688",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982721247",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902028236",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265654594",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.