Arc of Acadiana, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

2853 Issued in LA

Legal business name

ARC OF ACADIANA, INC

Doing business as

Arc of Acadiana Northwest

Practice address

5401 Shed Rd
Bossier City, LA 71111-5420

Phone

(318) 742-6220

Fax

(318) 741-5297

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 5

Other names 1

• Arc of Acadiana Northwest Doing business as

Tax ID family

Arc of Acadiana32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

• Arc of Acadiana

  dba Iberia Oaks Group Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Iberia, LA
  • NPI 1386074227
  NPD tax ID
• Arc of Acadiana

  dba Central Avenue Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New Iberia, LA
  • NPI 1629721444
  NPD tax ID
• Arc of Acadiana

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Iota, LA
  • NPI 1740575802
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bossier City, LA
  • NPI 1053989053
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bossier City, LA
  • NPI 1285201137
  NPD tax ID
• Arc of Acadiana, Inc

  dba E B North Street Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rayne, LA
  • NPI 1396219101
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rayne, LA
  • NPI 1528613049
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rayne, LA
  • NPI 1578118097
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1720454200
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1811366958
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1902275043
  NPD tax ID
• Arc of Acadiana, Inc

  dba Jackie Street Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rayne, LA
  • NPI 1902442395
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry Jackson Kiser, MD

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1841235488
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1134479066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-742-6220",
            "fax_number": "318-741-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115420",
            "telephone_number": "318-742-6220",
            "fax_number": "318-741-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF ACADIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "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": "LA",
            "license": "2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155059",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718637",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715131",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716391",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098914",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arc of Acadiana Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Applegate
• Applegate Health Services, Inc. (AppleGate Recovery of Bossier City)
• Alfonso Aquino, M.D.
• Marisol Aragon
• Arc of Acadiana, Inc
• Arc of Acadiana, Inc
• Arc of Acadiana, Inc (Arc of Acadiana, Northwest)
• Arc of Acadiana, Inc (Arc of Acadiana, Northwest)
• Arc of Acadiana, Inc (Arc of Acadiana, Northwest)
• Alexandra Ardoin

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.