NPIMap

Organization Active NPI

Southern Ingenuity, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Homer, LA
National Provider Identifier
1437320751
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SOUTHERN INGENUITY, INC.
Practice address
598 Harmon Loop
Homer, LA 71040-5830
Phone
(318) 927-5046
Fax
(318) 927-5055
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Daryn R. Clark
Title
President
Phone
(318) 927-5068

Specialties & licenses 1

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

Addresses

Primary practice location

598 Harmon Loop
Homer, LA 71040-5830

Mailing address

PO Box 38
Homer, LA 71040-0038
Phone (318) 927-5046

Other identifiers 1

IdentifierTypeStateIssuer
1971243MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Southern Ingenuity Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1437320751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710400038",
            "telephone_number": "318-927-5046",
            "fax_number": "318-927-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 HARMON LOOP",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710405830",
            "telephone_number": "318-927-5046",
            "fax_number": "318-927-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INGENUITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DARYN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-927-5068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1971243",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.