NPIMap

Organization Active NPI

St John Arc

  • Developmentally Disabled Services Day Training Agency
  • La Place, LA
National Provider Identifier
1174742829
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC 2234 Issued in LA
Legal business name
ST JOHN ARC
Practice address
101 Bamboo Rd
La Place, LA 70068-6457
Phone
(985) 652-5706
Fax
(985) 652-5706
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith J Babin
Title
Executive Director
Phone
(985) 652-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC 2234 LA Primary

Addresses

Primary practice location

101 Bamboo Rd
La Place, LA 70068-6457

Mailing address

101 Bamboo Rd
La Place, LA 70068-6457
Phone (985) 652-5706

Other identifiers 1

IdentifierTypeStateIssuer
1955779MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
St John Arc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174742829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAMBOO RD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686457",
            "telephone_number": "985-652-5706",
            "fax_number": "985-652-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAMBOO RD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686457",
            "telephone_number": "985-652-5706",
            "fax_number": "985-652-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BABIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-652-5706"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC 2234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955779",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.