Organization Active NPI

The Arc of Sabine Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Many, LA
National Provider Identifier
1639209554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
THE ARC OF SABINE INC
Practice address
700 Dockens Dr
Many, LA 71449
Phone
(318) 256-5155
Fax
(315) 256-0143
NPI assigned
Mar 7, 2007
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
Mr. Calvin Wayne Martinez
Title
Exec Director
Phone
(318) 256-2025

Specialties & licenses 1

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

Addresses

Primary practice location

700 Dockens Dr
Many, LA 71449

Mailing address

PO Box 1150
Many, LA 71449-1150
Phone (318) 256-2025

Other identifiers 2

IdentifierTypeStateIssuer
1717061MedicaidLA
19G465OtherLADHH PROVIDER #

Other names 1

  • VIRGINIA GODFREY COMMUNITY HOME Other name

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Sabine Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639209554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714491150",
            "telephone_number": "318-256-2025",
            "fax_number": "318-256-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DOCKENS DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "71449",
            "telephone_number": "318-256-5155",
            "fax_number": "315-256-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SABINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "318-256-2025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1717061",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH PROVIDER #",
            "identifier": "19G465",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRGINIA GODFREY COMMUNITY HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.