NPIMap

Organization Active NPI

West Carroll Arc

  • Developmentally Disabled Services Day Training Agency
  • Oak Grove, LA
National Provider Identifier
1235328063
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC 2259 Issued in LA
Legal business name
WEST CARROLL ARC
Practice address
611 West Jefferson
Oak Grove, LA 71263
Phone
(318) 428-4675
Fax
(318) 428-4675
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Mrs. Joyce M Grubbs
Title
Executive Director
Phone
(318) 428-4675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC 2259 LA Primary

Addresses

Primary practice location

611 West Jefferson
Oak Grove, LA 71263

Mailing address

PO Box 1391
Oak Grove, LA 71263
Phone (318) 428-4675

Other identifiers 1

IdentifierTypeStateIssuer
1955221MedicaidLA

Other names 1

  • Mary Biggs DDTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Mary Biggs DDTC3 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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1235328063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "71263",
            "telephone_number": "318-428-4675",
            "fax_number": "318-428-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WEST JEFFERSON",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "71263",
            "telephone_number": "318-428-4675",
            "fax_number": "318-428-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-428-4675",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC 2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955221",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Biggs DDTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.