NPIMap

Organization Active NPI

Calcasieu Assoc for Retarded Citizens, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Lake Charles, LA
National Provider Identifier
1700940244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
3676 Issued in LA
Legal business name
CALCASIEU ASSOC FOR RETARDED CITIZENS, INC
Practice address
4100 J Bennett Johnston Ave
Lake Charles, LA 70615-5166
Phone
(337) 433-3620
Fax
(337) 439-1886
NPI assigned
Dec 20, 2006
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
Loretta Lafleur
Title
Director of Finance
Phone
(337) 433-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 3676 LA Primary

Addresses

Primary practice location

4100 J Bennett Johnston Ave
Lake Charles, LA 70615-5166

Mailing address

4100 J Bennett Johnston Ave
Lake Charles, LA 70615-5166
Phone (337) 433-3620

Other identifiers 1

IdentifierTypeStateIssuer
1435171MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Calcasieu Assoc for Retarded Citizens Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700940244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 J BENNETT JOHNSTON AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155166",
            "telephone_number": "337-433-3620",
            "fax_number": "337-439-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 J BENNETT JOHNSTON AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155166",
            "telephone_number": "337-433-3620",
            "fax_number": "337-439-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU ASSOC FOR RETARDED CITIZENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "337-433-3620"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "LA",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435171",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, 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.