Organization Active NPI

Avoyelles Society for the Developmentally Disabled,Inc.

  • Developmentally Disabled Services Day Training Agency
  • Marksville, LA
National Provider Identifier
1740311158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC7205 Issued in LA
Legal business name
AVOYELLES SOCIETY FOR THE DEVELOPMENTALLY DISABLED,INC.
Practice address
377 Moreau St
Marksville, LA 71351-2959
Phone
(318) 253-5420
Fax
(318) 240-8373
NPI assigned
Mar 8, 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. Loretta D. Lagrange
Title
Asst. Administrator
Phone
(318) 253-5420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC7205 LA Primary

Addresses

Primary practice location

377 Moreau St
Marksville, LA 71351-2959

Mailing address

377 Moreau St
Marksville, LA 71351-2959
Phone (318) 253-5420

Other identifiers 1

IdentifierTypeStateIssuer
1938033MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Avoyelles Society for the Developmentally Disabledinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740311158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512959",
            "telephone_number": "318-253-5420",
            "fax_number": "318-240-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MOREAU ST",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512959",
            "telephone_number": "318-253-5420",
            "fax_number": "318-240-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOYELLES SOCIETY FOR THE DEVELOPMENTALLY DISABLED,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAGRANGE",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ASST. ADMINISTRATOR",
        "authorized_official_telephone_number": "318-253-5420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC7205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1938033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, 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.