Organization Active NPI

Calcasieu Association for Retarded Citizens

Doing business as Carc

  • Intellectual Disabilities Intermediate Care Facility
  • Lake Charles, LA
National Provider Identifier
1770796906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
376 Issued in LA
Legal business name
CALCASIEU ASSOCIATION FOR RETARDED CITIZENS
Doing business as
Carc
Practice address
2412 Third Street
Lake Charles, LA 70615
Phone
(337) 433-3620
Fax
(337) 439-1886
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Ms. Loretta O. Lafleur
Title
Finance Director
Phone
(337) 433-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 376 LA Primary

Addresses

Primary practice location

2412 Third Street
Lake Charles, LA 70615

Mailing address

4100 J. Bennett Johnston Ave.
Lake Charles, LA 70615-3445
Phone (337) 433-3620

Other identifiers 1

IdentifierTypeStateIssuer
1716219MedicaidLA

Other names 1

  • CARC Doing business as

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770796906",
    "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": "706153445",
            "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": "2412 THIRD STREET",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70615",
            "telephone_number": "337-433-3620",
            "fax_number": "337-439-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU ASSOCIATION FOR RETARDED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFLEUR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "337-433-3620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.