CALCASIEU ASSOCIATION FOR RETARDED CITIZENS (NPI# 1063411296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063411296 |
| Entity Type | Organization |
| Organization Name | CALCASIEU ASSOCIATION FOR RETARDED CITIZENS |
| Other Organization Name | CARC |
| Practice Address |
4100 Sn J Bennett Johnston Avenue Lake Charles LA 70615-5166 |
| Mailing Address |
4100 Sn J Bennett Johnston Ave Lake Charles LA 70615-5166 |
| Practice Telephone | 3374330398 |
| Practice Fax Number | 3374891886 |
| Mailing Telephone | 3374330398 |
| Mailing Fax Number | 3374891886 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HOWARD STROUD JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3374333620 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 2466 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1715476 | 05 | |
| LA | 1715824 | 05 | |
| LA | 1815866 | 05 | |
| LA | 1435171 | 05 | |
| LA | 1460061 | 05 | |
| LA | 1666289 | 05 | |
| LA | 1715662 | 05 | |
| LA | 1955957 | 05 | |
| LA | 1913588 | 05 | |
| LA | 1716219 | 05 | |
| LA | 1915866 | 05 | |
| LA | 1931551 | 05 | |
| LA | 1715816 | 05 | |
| LA | 1716065 | 05 | |
| LA | 1955965 | 05 |
| Other Name | Type Code |
|---|---|
| CARC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689983223 | Calcasieu Association for Retarded Citizens | In Home Supportive Care | 4100 Senator J. Bennett Johnston Avenue, Lake Charles, LA 70615-5166 | 2010-09-30 |
| 1689887812 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 1015 Cherryhill, Lake Charles, LA 70605 | 2007-05-07 |
| 1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
| 1952514184 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 708 Reigal Street, Lake Charles, LA 70605 | 2007-05-07 |
| 1861614471 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 1807 19th Street, Lake Charles, LA 70601 | 2007-05-03 |
| 1447312335 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 623 W Sale Rd, Lake Charles, LA 70605-3445 | 2006-12-15 |
| Street Address |
4100 SN J BENNETT JOHNSTON AVENUE |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70615-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648900 | Word of Hope | Nursing Care | 3975 East Prien Lake Rd, Lake Charles, LA 70615 | 2017-09-13 |
| 1275908725 | Ashley Jones | Counselor | 1716 Eleanor St., Lake Charles, LA 70615 | 2015-12-09 |
| 1669608097 | Consumer Advocacy and Resource Coordination, Inc. | Case Management | 902 Canvasback Street, Lake Charles, LA 70615 | 2009-05-29 |
| 1770796906 | Calcasieu Association for Retarded Citizens | Intermediate Care Facility, Mentally Retarded | 2412 Third Street, Lake Charles, LA 70615 | 2007-05-07 |
| 1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
| 1669981312 | Terri Williams | Registered Nurse | 3975 East Prien Lake Rd, Lake Charles (and Vicinity), LA 70615 | 2017-09-26 |
| 1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
| 1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
| 1790906493 | Jeannine Utzman Babineaux | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2007-05-01 |
| 1174800569 | Hollie Steffens Donnelly | Nurse Practitioner | 2802 Pineview St, Lake Charles, LA 70615-2063 | 2011-11-14 |
| Find all providers in zip 70615 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760839435 | Solomon Temple Ministries | Day Training, Developmentally Disabled Services | 1917 Harless St, Lake Charles, LA 70601-1036 | 2016-05-23 |
| 1043470701 | Professional Care of Louisiana, LLC | Day Training, Developmentally Disabled Services | 824 Sam Houston Jones Pkwy Ste G, Lake Charles, LA 70611-5541 | 2008-06-16 |
| 1275705147 | Share Care Usa | Day Training, Developmentally Disabled Services | 1717 E Prien Lake Rd Ste 8, Lake Charles, LA 70601-0400 | 2008-03-31 |
| 1326261314 | Magnolia Medical Resources Inc | Day Training, Developmentally Disabled Services | 412 7th St, Lake Charles, LA 70601-6007 | 2007-04-10 |
| 1356454383 | Advanced Personal Care, LLC | Day Training, Developmentally Disabled Services | 726 Ryan St, Suite B, Lake Charles, LA 70601-4243 | 2006-08-16 |
| 1386929743 | Advanced Personal Care LLC | Day Training, Developmentally Disabled Services | 726 Ryan St, Suite B, Lake Charles, LA 70601-4243 | 2011-10-18 |
| 1376792010 | Evergreen Presbyterian Ministries, Inc. | Day Training, Developmentally Disabled Services | 1146 Hodges St, Lake Charles, LA 70601-5216 | 2008-09-18 |
| 1154582732 | Professional Care of Louisiana, LLC | Day Training, Developmentally Disabled Services | 824 Sam Houston Jones Pkwy Ste G, Lake Charles, LA 70611-5541 | 2008-06-17 |
| 1215100169 | Share Care Usa - Region 5 | Day Training, Developmentally Disabled Services | 1717 E Prien Lake Rd Ste 8, Lake Charles, LA 70601-0400 | 2008-04-10 |
| 1760655617 | Share Care Usa - Region 5 | Day Training, Developmentally Disabled Services | 1717 E Prien Lake Rd Ste 8, Lake Charles, LA 70601-0400 | 2008-04-10 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70615 |
Please comment or provide details below to improve the information on CALCASIEU ASSOCIATION FOR RETARDED CITIZENS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.