Organization Active NPI

Lafourche Arc

  • Respite Care
  • Thibodaux, LA
National Provider Identifier
1144402256
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
RC6792 Issued in LA
Legal business name
LAFOURCHE ARC
Practice address
100 W Main St
Thibodaux, LA 70301-5216
Phone
(985) 447-6214
Fax
(985) 447-4813
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ricky P Bonvillain
Title
Fiscal Services Director
Phone
(985) 447-6214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X RC6792 LA Primary

Addresses

Primary practice location

100 W Main St
Thibodaux, LA 70301-5216

Mailing address

100 W Main St
Thibodaux, LA 70301-5216
Phone (985) 447-6214

Other identifiers 1

IdentifierTypeStateIssuer
1953032MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lafourche Arc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1144402256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015216",
            "telephone_number": "985-447-6214",
            "fax_number": "985-447-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015216",
            "telephone_number": "985-447-6214",
            "fax_number": "985-447-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOURCHE ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BONVILLAIN",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FISCAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "985-447-6214"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "LA",
            "license": "RC6792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1953032",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.