NPIMap

Organization Active NPI

St Tammany Assoc for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Slidell, LA
National Provider Identifier
1336262484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
9417 Issued in LA
Legal business name
ST TAMMANY ASSOC FOR RETARDED CITIZENS
Practice address
1541 Saint Ann PL
Slidell, LA 70460-2315
Phone
(985) 646-0219
NPI assigned
Apr 6, 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
Dianne Baham
Title
Executive Director
Phone
(985) 646-0219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 9417 LA Primary

Addresses

Primary practice location

1541 Saint Ann PL
Slidell, LA 70460-2315

Mailing address

1541 Saint Ann PL
Slidell, LA 70460-2315
Phone (985) 646-0219

Other identifiers 1

IdentifierTypeStateIssuer
1938122MedicaidLA

Other names 1

  • STARC Other name

National Provider Directory

National Provider Directory
Tax ID family
St Tammany Assoc for Retarded Citizens15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336262484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SAINT ANN PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602315",
            "telephone_number": "985-646-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 SAINT ANN PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602315",
            "telephone_number": "985-646-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY ASSOC FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAHAM",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-646-0219"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "9417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938122",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slidell, 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.