NPIMap

Organization Active NPI

The Arc of Ouachita

  • Intellectual Disabilities Intermediate Care Facility
  • Monroe, LA
National Provider Identifier
1194868026
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
210289035 Issued in LA
Legal business name
THE ARC OF OUACHITA
Practice address
3101 Mercedes Dr
Monroe, LA 71201-5153
Phone
(318) 387-7817
Fax
(318) 322-0914
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
THE ARC OF OUACHITAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Lori Denise Gregory
Title
Logistics Director
Phone
(318) 387-7817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 210289035 LA Primary

Addresses

Primary practice location

3101 Mercedes Dr
Monroe, LA 71201-5153

Mailing address

P.O. Box 1462
901 North 4TH Street
Monroe, LA 71210
Phone (318) 387-7817

Other practice location 1

103 Mallard Ave
West Monroe, LA 71291-2345
Phone (318) 322-2224

Other identifiers 2

IdentifierTypeStateIssuer
4501626MedicaidLA
1715255MedicaidLA

Other names 1

  • Association for Retarded Citizens Ouachita; DBA: ARCO Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Ouachita12 organizations share this tax ID, including this one
Part of
The Arc of Ouachita

Other organizations with this tax ID 11

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1194868026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1462",
            "address_2": "901 NORTH 4TH STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71210",
            "telephone_number": "318-387-7817",
            "fax_number": "318-322-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MERCEDES DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015153",
            "telephone_number": "318-387-7817",
            "fax_number": "318-322-0914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Mallard Ave",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712912345",
            "country_code": "US",
            "telephone_number": "318-322-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ARC OF OUACHITA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ARC OF OUACHITA",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "LOGISTICS DIRECTOR",
        "authorized_official_telephone_number": "318-387-7817"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "210289035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4501626",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715255",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for Retarded Citizens Ouachita; DBA: ARCO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.