NPIMap

Organization Active NPI

The Arc of Ouachita

  • Long-Term Care Clinical Nurse Specialist
  • Monroe, LA
National Provider Identifier
1699251983
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
License
HCBS2477 Issued in LA
Legal business name
THE ARC OF OUACHITA
Practice address
901 North 4TH Street
Monroe, LA 71201
Phone
(318) 387-7817
Fax
(318) 322-0914
NPI assigned
Jul 19, 2018
Organization subpart
Yes
Parent organization
THE ARC OF OUACHITAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Mrs. Roma L. W. Kidd
Title
Executive Director
Phone
(318) 387-7817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SL0600X HCBS2477 LA Primary

Addresses

Primary practice location

901 North 4TH Street
Monroe, LA 71201

Mailing address

P.O. Box 1462
901 North 4TH Street
Monroe, LA 71210
Phone (318) 387-7817

Other identifiers 1

IdentifierTypeStateIssuer
4501626MedicaidLA

Other names 1

  • Association for Retarded Citizens Ouachita; DBA: ARCO Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Ouachita12 organizations share this tax ID, including this one
Part of
The Arc of Ouachita

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1699251983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1462",
            "address_2": "901 NORTH 4TH STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71210",
            "telephone_number": "318-387-7817",
            "fax_number": "318-322-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORTH 4TH STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-387-7817",
            "fax_number": "318-322-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF OUACHITA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ARC OF OUACHITA",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "ROMA",
        "authorized_official_middle_name": "L. W.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-387-7817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "LA",
            "license": "HCBS2477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4501626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for Retarded Citizens Ouachita; DBA: ARCO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.