Organization Active NPI

Robinswood School for the Developmentally Disabled

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Charles, LA
National Provider Identifier
1376757047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ROBINSWOOD SCHOOL FOR THE DEVELOPMENTALLY DISABLED
Practice address
200 Avenue C
Lake Charles, LA 70615-6816
Phone
(337) 436-6664
Fax
(337) 436-0250
NPI assigned
May 10, 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
Gordon Propst
Title
Administrator
Phone
(337) 436-6664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X LA Primary

Addresses

Primary practice location

200 Avenue C
Lake Charles, LA 70615-6816

Mailing address

200 Avenue C
Lake Charles, LA 70615-6816
Phone (337) 436-6664

Other identifiers 1

IdentifierTypeStateIssuer
19G010MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Robinswood Community Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376757047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVENUE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706156816",
            "telephone_number": "337-436-6664",
            "fax_number": "337-436-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVENUE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706156816",
            "telephone_number": "337-436-6664",
            "fax_number": "337-436-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSWOOD SCHOOL FOR THE DEVELOPMENTALLY DISABLED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROPST",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "337-436-6664"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19G010",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, 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.