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The Arc of St. Martin, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Saint Martinville, LA

NPI 1104044908 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104044908
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
558 (LA)
Legal business name
THE ARC OF ST. MARTIN, INC.
Practice address
500 Lelia St
Saint Martinville, LA 70582-4109
Phone
(337) 394-4928
Fax
(337) 394-5974
NPI assigned
Apr 24, 2007
Organization subpart
No

Authorized official

Name
Mrs. Christine Poche
Title
QMRP
Phone
(337) 394-4928

Corporate family (same tax ID) 8

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

National Provider Directory

Tax ID family
The Arc of St Martin Inc (9 organizations share this tax ID)

Locations

500 Lelia St
Saint Martinville, LA 70582
Phone (337) 394-4928

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 558 LA Yes

Addresses

Primary practice location

500 Lelia St
Saint Martinville, LA 70582-4109

Mailing address

PO Box 128
Saint Martinville, LA 70582-0128
Phone (337) 394-4928

Other identifiers

IdentifierTypeStateIssuer
1718025MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104044908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705820128",
            "telephone_number": "337-394-4928",
            "fax_number": "337-394-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LELIA ST",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705824109",
            "telephone_number": "337-394-4928",
            "fax_number": "337-394-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF ST. MARTIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POCHE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "QMRP",
        "authorized_official_telephone_number": "337-394-4928",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718025",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Martinville, LA

All providers in Saint Martinville, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.