ARC OF ACADIANA, INC


Address: 5401 Shed Rd, Bossier City, LA 71111-5420
Phone: 3187426220

ARC OF ACADIANA, INC (NPI# 1811366958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811366958
Entity Type Organization
Organization Name ARC OF ACADIANA, INC
Other Organization Name ARC OF ACADIANA, NORTHWEST
Practice Address 5401 Shed Rd
Bossier City
LA 71111-5420
Practice Telephone 3187426220
Practice Fax Number 3187415297
Mailing Telephone 3187426220
Mailing Fax Number 3187415297
Enumeration Date 2015-09-18
Last Update Date 2015-09-18
Authorized Official Name APRIL LEE (ADMINISTRATOR)
Authorized Official Telephone 3187426220
Authorized Official Credential BS
Is Organization Subpart Y
Parent Organization Name ARC OF ACADIANA, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities PCA 11414 LA Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1716391 05
LA 1171972 05
LA 1679691 05
LA 2313061 05
LA 1098914 05
LA 1931560 05
LA 1934941 05
LA 1715131 05
LA 1718106 05
LA 1718637 05
LA 1935239 05
LA 1934950 05
LA 2155059 05

Other Provider/Organization Names

Other Name Type Code
Arc of Acadiana, Northwest Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902442395 Arc of Acadiana, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 106 Jackie Street, Rayne, LA 70578-7056 2019-11-21
1528613049 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 608 Lisa St, Rayne, LA 70578-7056 2019-08-02
1578118097 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1900 Electa St, Rayne, LA 70578-7056 2019-08-02
1396219101 Arc of Acadiana, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1601 East B North St, Rayne, LA 70578 2019-01-15
1972854925 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Guidry St, Lafayette, LA 70501-8738 2012-09-29
1902275043 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2015-09-18
1720454200 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Road, Bossier City, LA 71111 2015-08-19
1134479066 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2012-09-18

Office Location

Street Address 5401 SHED RD
City BOSSIER CITY
State LA
Zip Code 71111-5420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689715179 Northwest Supports and Services Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-02-09
1902275043 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2015-09-18
1134479066 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2012-09-18
1154687978 Tommy Ray Robinson Physician Assistant 5401 Shed Rd, Bossier City, LA 71111-5420 2012-04-05
1235370685 Michael Mcdougald Social Worker 5401 Shed Rd, Bossier City, LA 71111-5420 2009-03-16
1205076098 Tiney Latson Registered Nurse 5401 Shed Rd, Bossier City, LA 71111-5420 2009-03-06
1871732628 Northwest Supports and Services Center Early Intervention Provider Agency 5401 Shed Rd, Bossier City, LA 71111-5420 2009-02-18
1578702643 Arien Mckenzie Ward Psychologist 5401 Shed Rd, Bossier City, LA 71111-5420 2009-02-13
1841439197 Michelle Jarrell Rock Physical Therapist 5401 Shed Rd, Bossier City, LA 71111-5420 2009-02-10
1730307133 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669007951 Tamara 'tammy' Larck Counselor 1525 Fullilove Drive, Shreveport, LA 71111 2020-03-06
1912538315 Lagniappe Chiropractic Chiropractor 2400 Airline Drive, Bossier City, LA 71111 2020-02-04
1649817420 Lifecare Medical Transportation, LLC. Non-emergency Medical Transport (VAN) 25 Duck Haven Pointe, Bossier City, LA 71111 2019-11-29
1770126344 Bertresea White Evans Nurse Practitioner Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 2019-10-25
1861964058 Erika Davis Reed Counselor 1515 Doctors Dr # 16, Bossier City, LA 71111 2018-12-28
1518436898 Charlotte Mckay Case Manager/Care Coordinator 31330 Hwy 22, Ste 101, Bossier City, LA 71111 2018-11-16
1992271464 Np2u, LLC Nurse Practitioner 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 2018-10-22
1114416542 Lashaunda Autrey Counselor 410 Half Moon Lane, Bossier, LA 71111 2018-05-01
1750887196 Shenya Williams-pennywell Counselor 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 2018-04-04
1336647304 Patrick Vance Physical Therapist 5000 Benton Rd Ste 1, Bossier City, LA 71111 2018-01-24
Find all providers in zip 71111

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922147222 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3907 Shed Rd, Bossier City, LA 71111-5214 2007-02-05
1902275043 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2015-09-18
1720454200 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Road, Bossier City, LA 71111 2015-08-19
1134479066 Arc of Acadiana, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2012-09-18
1730307133 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1558589952 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1467670869 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1912125311 Northwest Supports and Services Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5401 Shed Rd, Bossier City, LA 71111-5420 2007-04-23
1104965409 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3907 Shed Rd, Bossier City, LA 71111-5214 2007-02-05
1336288802 Evergreen Presbyterian Ministries, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3907 Shed Rd, Bossier City, LA 71111-5214 2007-02-05
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Competitor

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City BOSSIER CITY
Zip Code 71111

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Dataset Information

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.

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