NPIMap

Organization Active NPI

The Arc Caddo Bossier

  • Health Maintenance Organization
  • Shreveport, LA
National Provider Identifier
1295859668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
2501 Issued in LA
Legal business name
THE ARC CADDO BOSSIER
Practice address
351 Jordan St
Shreveport, LA 71101-4846
Phone
(318) 425-8978
Fax
(318) 221-4262
NPI assigned
Mar 19, 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. Chris L Horne
Title
Financial Director
Phone
(318) 425-8978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 2501 LA Primary

Addresses

Primary practice location

351 Jordan St
Shreveport, LA 71101-4846

Mailing address

351 Jordan St
Shreveport, LA 71101-4846
Phone (318) 425-8978

Other identifiers 1

IdentifierTypeStateIssuer
1917052MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Caddo Bossier17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295859668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014846",
            "telephone_number": "318-425-8978",
            "fax_number": "318-221-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014846",
            "telephone_number": "318-425-8978",
            "fax_number": "318-221-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC CADDO BOSSIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "318-425-8978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1917052",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, 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.