NPIMap

Organization Active NPI

Acadiana Regional Supports & Services Center

  • Developmentally Disabled Services Day Training Agency
  • Iota, LA
National Provider Identifier
1689620908
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2326 Issued in LA
Legal business name
ACADIANA REGIONAL SUPPORTS & SERVICES CENTER
Practice address
224 Gremillion Cir
Iota, LA 70543-3250
Phone
(337) 821-9301
Fax
(337) 821-9306
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mr. Samuel K McDaniel
Title
Mr/DD Regional Administrator
Phone
(337) 824-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2326 LA Primary

Addresses

Primary practice location

224 Gremillion Cir
Iota, LA 70543-3250

Mailing address

224 Gremillion Cir
P. O. Box 218
Iota, LA 70543-3250
Phone (337) 821-9301

Other identifiers 1

IdentifierTypeStateIssuer
1559539MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Acadiana Region Supports and Services Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1689620908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREMILLION CIR",
            "address_2": "P. O. BOX 218",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705433250",
            "telephone_number": "337-821-9301",
            "fax_number": "337-821-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREMILLION CIR",
            "city": "IOTA",
            "state": "LA",
            "postal_code": "705433250",
            "telephone_number": "337-821-9301",
            "fax_number": "337-821-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA REGIONAL SUPPORTS & SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MR/DD REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "337-824-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559539",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iota, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.