NPIMap

Organization Active NPI

Association for Retarded Citizens of Evangeline, Inc

Doing business as West Lincoln Road Community Home

  • Nursing Facility/Intermediate Care Facility
  • Ville Platte, LA
National Provider Identifier
1235257676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
582 Issued in LA
Legal business name
ASSOCIATION FOR RETARDED CITIZENS OF EVANGELINE, INC
Doing business as
West Lincoln Road Community Home
Practice address
108 W Jefferson St
Ville Platte, LA 70586-3712
Phone
(337) 363-5553
Fax
(337) 363-5974
NPI assigned
Mar 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Carolyn Deranger
Title
Office Manager
Phone
(337) 363-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 582 LA Primary

Addresses

Primary practice location

108 W Jefferson St
Ville Platte, LA 70586-3712

Mailing address

PO Box 677
Ville Platte, LA 70586-0677
Phone (337) 363-5553

Other identifiers 1

IdentifierTypeStateIssuer
1718351MedicaidLA

Other names 1

  • West Lincoln Road Community Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235257676. Details of each certification follow.

  • CCN 19G322 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G322

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
West Lincoln Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 29, 1989
Last certification
Dec 9, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
108 West Jefferson Road
Ville Platte, LA 70586

National Provider Directory

National Provider Directory
Tax ID family
Association of Retarded Citizens of Evangeline Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

108 W Jefferson St
Ville Platte, LA 70586
Phone (337) 363-5553

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235257676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860677",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W JEFFERSON ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705863712",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR RETARDED CITIZENS OF EVANGELINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERANGER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-363-5553"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "LA",
            "license": "582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718351",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Lincoln Road Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.