NPIMap

Organization Active NPI

St. Mary Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Centerville, LA
National Provider Identifier
1649488313
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC2242 Issued in LA
Legal business name
ST. MARY ASSOCIATION FOR RETARDED CITIZENS
Practice address
100 Missouri Street
Centerville, LA 70522
Phone
(337) 836-9445
NPI assigned
May 18, 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
Bonita Peltier
Title
Executive Director
Phone
(337) 836-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC2242 LA Primary

Addresses

Primary practice location

100 Missouri Street
Centerville, LA 70522

Mailing address

PO Box 3
Centerville, LA 70522-0003
Phone (337) 836-9445

Other identifiers 1

IdentifierTypeStateIssuer
1957488MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
St Mary Association for Retarded Citizens3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649488313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3",
            "city": "CENTERVILLE",
            "state": "LA",
            "postal_code": "705220003",
            "telephone_number": "337-836-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MISSOURI STREET",
            "city": "CENTERVILLE",
            "state": "LA",
            "postal_code": "70522",
            "telephone_number": "337-836-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELTIER",
        "authorized_official_first_name": "BONITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-836-9445"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957488",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, 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.