Organization Active NPI

St John Association for Retarded Citizens Inc

  • Home Health Agency
  • La Place, LA
National Provider Identifier
1508291444
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ST JOHN ASSOCIATION FOR RETARDED CITIZENS INC
Practice address
101 Bamboo Rd
La Place, LA 70068-6457
Phone
(985) 652-8003
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Mrs. Gail Lewis
Title
Director
Phone
(985) 652-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 Bamboo Rd
La Place, LA 70068-6457

Mailing address

101 Bamboo Rd
La Place, LA 70068-6457
Phone (985) 652-8003

Other identifiers 4

IdentifierTypeStateIssuer
1955761MedicaidLA
1955779MedicaidLA
1172031MedicaidLA
1692476MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
St John Arc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

101 Bamboo Rd
La Place, LA 70068
Phone (985) 652-5706

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1508291444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAMBOO RD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686457",
            "telephone_number": "985-652-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAMBOO RD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700686457",
            "telephone_number": "985-652-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN ASSOCIATION FOR RETARDED CITIZENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "985-652-8003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955761",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955779",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172031",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692476",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.