NPIMap

Organization Active NPI

St Marys Resd Training School

Doing business as Stuckey Home

  • Intellectual Disabilities Intermediate Care Facility
  • Boyce, LA
National Provider Identifier
1568656379
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
928 Issued in LA
Legal business name
ST MARYS RESD TRAINING SCHOOL
Doing business as
Stuckey Home
Practice address
6725 Hwy 1 North
Boyce, LA 71409
Phone
(318) 443-9372
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
ST MARYS RESD TRAINING SCHOOLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mrs. Christi Guillot
Title
Administrative Service Director
Phone
(318) 445-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 928 LA Primary

Addresses

Primary practice location

6725 Hwy 1 North
Boyce, LA 71409

Mailing address

PO Drawer 7768
Alexandria, LA 71306
Phone (318) 445-6443

Other identifiers 1

IdentifierTypeStateIssuer
1711233MedicaidLA

Other names 1

  • Stuckey Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Residential Community and Services27 organizations share this tax ID, including this one
Part of
St Mary's Residential Community and Services

Other organizations with this tax ID 26

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

View all 26

Locations

6725 Highway 1
Boyce, LA 71409
Phone (318) 443-9372

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1568656379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 7768",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71306",
            "telephone_number": "318-445-6443",
            "fax_number": "318-449-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 HWY 1 NORTH",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "71409",
            "telephone_number": "318-443-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS RESD TRAINING SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARYS RESD TRAINING SCHOOL",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "GUILLOT",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "ADMINISTRATIVE SERVICE DIRECTOR",
        "authorized_official_telephone_number": "318-445-6443",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711233",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stuckey Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boyce, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.