NPIMap

Organization Active NPI

Red River Association for Retarded Citizens Inc

  • Developmentally Disabled Services Day Training Agency
  • Coushatta, LA
National Provider Identifier
1215067137
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
ADC2321 Issued in LA
Legal business name
RED RIVER ASSOCIATION FOR RETARDED CITIZENS INC
Practice address
1908 Hwy 71 South
Coushatta, LA 71019
Phone
(318) 932-6520
Fax
(318) 932-6520
NPI assigned
Mar 7, 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
Mrs. Betty H Sullivan
Title
Executive Director
Phone
(318) 932-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC2321 LA Primary

Addresses

Primary practice location

1908 Hwy 71 South
Coushatta, LA 71019

Mailing address

2303 E Carroll St
Coushatta, LA 71019
Phone (318) 932-6520

Other identifiers 1

IdentifierTypeStateIssuer
1952559MedicaidLA

Other names 1

  • Red River Industries Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Red River Association for Retarded Citizens Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215067137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 E CARROLL ST",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "71019",
            "telephone_number": "318-932-6520",
            "fax_number": "318-932-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HWY 71 SOUTH",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "71019",
            "telephone_number": "318-932-6520",
            "fax_number": "318-932-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER ASSOCIATION FOR RETARDED CITIZENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-932-6520",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coushatta, 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.