NPIMap

Organization Active NPI

St. Tammany Association for Retarded Citizens, Inc.

  • Early Intervention Provider Agency
  • Slidell, LA
National Provider Identifier
1497066658
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ST. TAMMANY ASSOCIATION FOR RETARDED CITIZENS, INC.
Doing business as
STARC
Practice address
1541 Saint Ann PL
Slidell, LA 70460-2315
Phone
(985) 641-0197
Fax
(985) 643-4496
NPI assigned
Jun 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dianne Baham
Title
Executive Director
Phone
(985) 641-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1541 Saint Ann PL
Slidell, LA 70460-2315

Mailing address

1541 Saint Ann PL
Slidell, LA 70460-2315
Phone (985) 641-0197

Other identifiers 1

IdentifierTypeStateIssuer
1701670MedicaidLA

Other names 1

  • STARC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Tammany Assoc for Retarded Citizens15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1497066658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 SAINT ANN PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602315",
            "telephone_number": "985-641-0197",
            "fax_number": "985-643-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 SAINT ANN PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602315",
            "telephone_number": "985-641-0197",
            "fax_number": "985-643-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. TAMMANY ASSOCIATION FOR RETARDED CITIZENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BAHAM",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-641-0197"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.