NPIMap

Organization Active NPI

Ruston Developmental Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ruston, LA
National Provider Identifier
1689890550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
944 Issued in LA
Legal business name
RUSTON DEVELOPMENTAL CENTER
Practice address
4372 Highway 818
Ruston, LA 71270-8339
Phone
(318) 247-4204
Fax
(318) 247-4254
NPI assigned
Apr 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
Mrs. Janet Robinson
Title
Directo of Administrative Services
Phone
(318) 247-4213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 944 LA Primary

Addresses

Primary practice location

4372 Highway 818
Ruston, LA 71270-8339

Mailing address

PO Box 907
Ruston, LA 71273-0907
Phone (318) 247-4204

Other identifiers 1

IdentifierTypeStateIssuer
1711284MedicaidLA

Other names 1

  • Wesley Chapel Community Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Ruston Developmental Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689890550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712730907",
            "telephone_number": "318-247-4204",
            "fax_number": "318-247-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4372 HIGHWAY 818",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708339",
            "telephone_number": "318-247-4204",
            "fax_number": "318-247-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTO OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "318-247-4213",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "LA",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711284",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wesley Chapel Community Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ruston, 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.