NPIMap

Organization Active NPI

Association of Retarded Citizens of Evangeline, Inc

Doing business as Evangeline A.R.C. at Ville Platte

  • Developmentally Disabled Services Day Training Agency
  • Ville Platte, LA
National Provider Identifier
1750409876
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
ADC 2490 Issued in LA
Legal business name
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC
Doing business as
Evangeline A.R.C. at Ville Platte
Practice address
109 West Lasalle Street
Ville Platte, LA 70586
Phone
(337) 363-5553
Fax
(337) 363-5974
NPI assigned
Mar 27, 2007
Organization subpart
Yes
Parent organization
ASSOCIATION OF RETARDED CITIZENS OF EVANGELINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Carolyn Deranger
Title
Office Manager
Phone
(337) 363-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X ADC 2490 LA Primary

Addresses

Primary practice location

109 West Lasalle Street
Ville Platte, LA 70586

Mailing address

PO Box 677
Ville Platte, LA 70586-0677
Phone (337) 363-5553

Other identifiers 1

IdentifierTypeStateIssuer
1535702MedicaidLA

Other names 1

  • Evangeline A.R.C. at Ville Platte Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Association of Retarded Citizens of Evangeline Inc5 organizations share this tax ID, including this one
Part of
Association of Retarded Citizens of Evangeline Inc

Other organizations with this tax ID 4

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1750409876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 677",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705860677",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WEST LASALLE STREET",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-5553",
            "fax_number": "337-363-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATION OF RETARDED CITIZENS OF EVANGELINE",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "DERANGER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-363-5553"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC 2490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1535702",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evangeline A.R.C. at Ville Platte",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.