NPIMap

Organization Active NPI

Peltier-Lawless Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Thibodaux, LA
National Provider Identifier
1386863009
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
776 Issued in LA
Legal business name
PELTIER-LAWLESS DEVELOPMENTAL CENTER
Practice address
318 Marcello Blvd
Thibodaux, LA 70301
Phone
(985) 447-0912
Fax
(985) 449-5198
NPI assigned
Apr 24, 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
Mrs. Janelle Folse
Title
Regional Assoc. Administrator Mrdd2
Phone
(985) 449-5181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 776 LA Primary

Addresses

Primary practice location

318 Marcello Blvd
Thibodaux, LA 70301

Mailing address

690 E 1St St
Thibodaux, LA 70301-3546
Phone (985) 449-5181

Other identifiers 1

IdentifierTypeStateIssuer
1712311MedicaidLA

Other names 1

  • Beaujolais Community Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peltier - Lawless Developmental Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386863009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 1ST ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703013546",
            "telephone_number": "985-449-5181",
            "fax_number": "985-449-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MARCELLO BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-447-0912",
            "fax_number": "985-449-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTIER-LAWLESS DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOLSE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "REGIONAL ASSOC. ADMINISTRATOR MRDD2",
        "authorized_official_telephone_number": "985-449-5181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712311",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaujolais Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, 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.