NPIMap

Organization Active NPI

Calcasieu Association for Retarded Citizens

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Charles, LA
National Provider Identifier
1447312335
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
276 Issued in LA
Legal business name
CALCASIEU ASSOCIATION FOR RETARDED CITIZENS
Practice address
623 W Sale Rd
Lake Charles, LA 70605-3445
Phone
(337) 433-3620
Fax
(337) 439-1886
NPI assigned
Dec 15, 2006
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
Ms. Loretta O. Lafleur
Title
Finance Director
Phone
(337) 433-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 276 LA Primary

Addresses

Primary practice location

623 W Sale Rd
Lake Charles, LA 70605-3445

Mailing address

4100 Sen J Bennett Johnston Ave
Lake Charles, LA 70615-5166
Phone (337) 433-3620

Other identifiers 1

IdentifierTypeStateIssuer
1715476MedicaidLA

Other names 1

  • Sale Road Community Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447312335. Details of each certification follow.

  • CCN 19G053 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G053

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Sale Road Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 25, 1982
Last certification
Dec 2, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
623 West Sale Road
Lake Charles, LA 70605

National Provider Directory

National Provider Directory
Tax ID family
Calcasieu Assoc for Retarded Citizens Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447312335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 SEN J BENNETT JOHNSTON AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155166",
            "telephone_number": "337-433-3620",
            "fax_number": "337-439-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W SALE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706053445",
            "telephone_number": "337-433-3620",
            "fax_number": "337-439-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "337-433-3620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sale Road Community Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.