Organization Active NPI

The Arc of Sabine Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Many, LA
National Provider Identifier
1720118649
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
THE ARC OF SABINE INC
Practice address
1295 E San Antonio Ave
Many, LA 71449
Phone
(318) 256-6815
NPI assigned
Mar 7, 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
Mr. Calvin Wayne Martinez
Title
Exec Director
Phone
(318) 256-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1295 E San Antonio Ave
Many, LA 71449

Mailing address

PO Box 1150
Many, LA 71449-1150
Phone (318) 256-2025

Other identifiers 2

IdentifierTypeStateIssuer
1715506MedicaidLA
19G466OtherLADHH PROVIDER #

Other names 1

  • ALYENE HALEY COMMUNITY HOME Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G466

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Alyene Haley Community Home
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 8, 1994
Last certification
Dec 17, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1295 San Antonio Avenue
Many, LA 71449

National Provider Directory

National Provider Directory
Tax ID family
The Arc of Sabine Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720118649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714491150",
            "telephone_number": "318-256-2025",
            "fax_number": "318-256-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 E SAN ANTONIO AVE",
            "city": "MANY",
            "state": "LA",
            "postal_code": "71449",
            "telephone_number": "318-256-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF SABINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "318-256-2025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715506",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHH PROVIDER #",
            "identifier": "19G466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALYENE HALEY COMMUNITY HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Many, LA

Sources for this page

Verify at the official NPI Registry.