Organization Active NPI

The Arc of St. Charles, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Boutte, LA
National Provider Identifier
1982735429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE ARC OF ST. CHARLES, INC.
Practice address
13771 Old Spanish TRL
Boutte, LA 70039-3610
Phone
(985) 785-0971
Fax
(985) 785-0034
NPI assigned
Mar 8, 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. Victoria Bryant
Title
Executive Director
Phone
(985) 785-0971

Specialties & licenses 1

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

Addresses

Primary practice location

13771 Old Spanish TRL
Boutte, LA 70039-3610

Mailing address

13771 Old Spanish TRL
Boutte, LA 70039-3610
Phone (985) 785-0971

Other identifiers 1

IdentifierTypeStateIssuer
1171913MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
The Arc of St Charles Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1982735429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13771 OLD SPANISH TRL",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393610",
            "telephone_number": "985-785-0971",
            "fax_number": "985-785-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 OLD SPANISH TRL",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "700393610",
            "telephone_number": "985-785-0971",
            "fax_number": "985-785-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF ST. CHARLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "985-785-0971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171913",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boutte, 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.