Organization Active NPI

The Arc of Iberia, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New Iberia, LA
National Provider Identifier
1295766707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
402 Issued in LA
Legal business name
THE ARC OF IBERIA, INC.
Practice address
3716 Redwood Dr
New Iberia, LA 70560-3379
Phone
(337) 367-6813
Fax
(337) 367-6908
NPI assigned
Jul 5, 2006
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
Mr. Kenny Patton
Title
Executive Director
Phone
(337) 367-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 402 LA Primary

Addresses

Primary practice location

3716 Redwood Dr
New Iberia, LA 70560-3379

Mailing address

3716 Redwood Dr
New Iberia, LA 70560-3379
Phone (337) 367-6813

Other identifiers 1

IdentifierTypeStateIssuer
1716391MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Iberia Inc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295766707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 REDWOOD DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603379",
            "telephone_number": "337-367-6813",
            "fax_number": "337-367-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 REDWOOD DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603379",
            "telephone_number": "337-367-6813",
            "fax_number": "337-367-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF IBERIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-367-6813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716391",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, 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.