Acadiana Region Supports & Services Center
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Iota, LA
NPI 1861532855 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1861532855
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 4928 (LA)
- Legal business name
- ACADIANA REGION SUPPORTS & SERVICES CENTER
- Practice address
- 224 Gremillion Circle
Iota, LA 70543 - Phone
- (337) 821-9301
- Fax
- (337) 821-9306
- NPI assigned
- Feb 7, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ACADIANA REGION SUPPORTS & SERVICES CENTER
Authorized official
- Name
- Mr. Samuel K McDaniel
- Title
- Mr DD Regional Administrator
- Phone
- (337) 824-6250
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Acadiana Region Supports and Services Center
- Part of
- Acadiana Region Supports and Services Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 4928 | LA | Yes |
Addresses
Primary practice location
224 Gremillion Circle
Iota, LA 70543
Mailing address
224 Gremillion Circle
Iota, LA 70543
Phone (337) 824-6250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1102695 | Medicaid | LA |
Other names
- SIL
Other providers in Iota, LA
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports and Services Center
- Acadiana Regional Supports & Services Center
- Acadiana Supports & Services Center
- Amanda R. Dupre', LCSW LLC
All providers in Iota, LA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.