Beauregard Arc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

ADC 2569 Issued in LA

Legal business name

BEAUREGARD ARC

Practice address

1209 Shirley St
Deridder, LA 70634-3743

Phone

(337) 462-2513

Fax

(337) 462-2513

NPI assigned

Nov 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jackie L Hickman

Title

Executive Director

Phone

(337) 462-2513

Specialties & licenses 1

Addresses

Tax ID family

Beauregard Arc3 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.

• Beauregard Arc

  • Developmentally Disabled Services Day Training Agency
  • Deridder, LA
  • NPI 1285838904
  NPD tax ID
• Beauregard Arc

  dba Beaueregard Association for Retarded Citizens Inc

  • Developmental Disabilities Clinic/Center
  • Deridder, LA
  • NPI 1902889991
  NPD tax ID

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366512931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SHIRLEY ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343743",
            "telephone_number": "337-462-2513",
            "fax_number": "337-462-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SHIRLEY ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343743",
            "telephone_number": "337-462-2513",
            "fax_number": "337-462-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-462-2513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC 2569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Bailey Jr., LPC
• Bardin Dermatology, LLC
• Hannah Bearden
• Beauregard - Vernon MRI LLC
• Beauregard Arc
• Beauregard Arc (Beaueregard Association for Retarded Citizens Inc)
• Beauregard Behavioral Health Clinic
• Beauregard Emergency Group LLC
• Beauregard Family Medical Center, LLC
• Beauregard Family Medicine LLC

• Developmentally Disabled Services Day Training Agency in Deridder, LA
• Providers in Deridder, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• 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.