Arc of Acadiana

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ARC OF ACADIANA

Doing business as

Iberia Oaks Group Home

Practice address

2217 Kramer Dr
New Iberia, LA 70560-7024

Phone

(337) 367-6813

Fax

(337) 492-1010

NPI assigned

Nov 13, 2013

Last updated

Nov 13, 2013By 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

Mrs. Charlotte Jackson

Title

Director of Residential Services

Phone

(337) 367-6813

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Iberia Oaks Group Home Doing business as

Tax ID family

Arc of Acadiana32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

• Arc of Acadiana

  dba Central Avenue Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New Iberia, LA
  • NPI 1629721444
  NPD tax ID
• Arc of Acadiana

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Iota, LA
  • NPI 1740575802
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bossier City, LA
  • NPI 1053989053
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1134479066
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Bossier City, LA
  • NPI 1285201137
  NPD tax ID
• Arc of Acadiana, Inc

  dba E B North Street Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rayne, LA
  • NPI 1396219101
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rayne, LA
  • NPI 1528613049
  NPD tax ID
• Arc of Acadiana, Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rayne, LA
  • NPI 1578118097
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1720454200
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1811366958
  NPD tax ID
• Arc of Acadiana, Inc

  dba Arc of Acadiana, Northwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bossier City, LA
  • NPI 1902275043
  NPD tax ID
• Arc of Acadiana, Inc

  dba Jackie Street Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Rayne, LA
  • NPI 1902442395
  NPD tax ID

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1386074227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9610",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705629610",
            "telephone_number": "337-367-6813",
            "fax_number": "337-492-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 KRAMER DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705607024",
            "telephone_number": "337-367-6813",
            "fax_number": "337-492-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF ACADIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENTIAL SERVICES",
        "authorized_official_telephone_number": "337-367-6813",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718106",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715131",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313061",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098914",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716391",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718637",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2155059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iberia Oaks Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.