NPIMap

Organization Active NPI

Lafayette Arc Resident Service

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lafayette, LA
National Provider Identifier
1295956209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
411 Issued in LA
Legal business name
LAFAYETTE ARC RESIDENT SERVICE
Practice address
303 New Hope Rd
Lafayette, LA 70506-7407
Phone
(337) 988-0640
Fax
(337) 988-0813
NPI assigned
May 1, 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
Mr. Glenn Weber
Title
Director
Phone
(337) 988-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 411 LA Primary

Addresses

Primary practice location

303 New Hope Rd
Lafayette, LA 70506-7407

Mailing address

303 New Hope Rd
Lafayette, LA 70506-7407
Phone (337) 988-6110

Other identifiers 1

IdentifierTypeStateIssuer
1716553MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Lafayette Association for Retarded Citizens Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295956209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NEW HOPE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067407",
            "telephone_number": "337-988-6110",
            "fax_number": "337-984-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 NEW HOPE RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067407",
            "telephone_number": "337-988-0640",
            "fax_number": "337-988-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE ARC RESIDENT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-988-6110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716553",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, 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.