Vermilion Association for Retarded Citizens

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

ADC2235 Issued in LA

Legal business name

VERMILION ASSOCIATION FOR RETARDED CITIZENS

Practice address

809 S Severin St
Erath, LA 70533-4147

Phone

(337) 937-6113

Fax

(337) 937-4863

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Scottie J Daigle

Title

Executive Director

Phone

(337) 937-6113

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vermilion Association for Retarded Citizens3 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.

• The Arc of Vermilion, Inc

  • Developmentally Disabled Services Day Training Agency
  • Erath, LA
  • NPI 1043681166
  NPD tax ID
• Vermilion Association for Retarded Citizens

  • Developmentally Disabled Services Day Training Agency
  • Erath, LA
  • NPI 1700091659
  NPD tax ID

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750594362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S SEVERIN ST",
            "city": "ERATH",
            "state": "LA",
            "postal_code": "705334147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S SEVERIN ST",
            "city": "ERATH",
            "state": "LA",
            "postal_code": "705334147",
            "telephone_number": "337-937-6113",
            "fax_number": "337-937-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILION ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "SCOTTIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "337-937-6113"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "ADC2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1933210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brodie Bernard Theriot, RPH
• John Sulie Thibodeaux, MD
• Shantell Reaux Thibodeaux
• Jaci Trahan, OT
• Vermilion Association for Retarded Citizens

• Developmentally Disabled Services Day Training Agency in Erath, LA
• Providers in Erath, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• 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.