BEAUREGARD ARC (NPI# 1285838904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285838904 |
| Entity Type | Organization |
| Organization Name | BEAUREGARD ARC |
| Practice Address |
1209 Shirley St Deridder LA 70634-3743 |
| Mailing Address |
Po Box 13 Deridder LA 70634-0013 |
| Practice Telephone | 3374622513 |
| Practice Fax Number | 3374622513 |
| Mailing Telephone | 3374622513 |
| Mailing Fax Number | 3374622513 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DEBORAH ANNETTE WYSINGER (OFFICE MANAGER) |
| Authorized Official Telephone | 3374622513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | ADC 2569 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1963208 | 05 | |
| LA | 1963194 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366512931 | Beauregard Arc | Day Training, Developmentally Disabled Services | 1209 Shirley St, Deridder, LA 70634-3743 | 2006-11-09 |
| 1902889991 | Beauregard Arc | Clinic/Center | 1209 W Shirley St, Deridder, LA 70634 | 2005-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUREGARD ARC | 221 Mahlon St, Deridder, LA 70634-4119 |
| Street Address |
1209 SHIRLEY ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366512931 | Beauregard Arc | Day Training, Developmentally Disabled Services | 1209 Shirley St, Deridder, LA 70634-3743 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| 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 |
|---|---|---|---|---|
| 1366512931 | Beauregard Arc | Day Training, Developmentally Disabled Services | 1209 Shirley St, Deridder, LA 70634-3743 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830328 | Holistic Health Care Services, Inc | Day Training, Developmentally Disabled Services | 22175 Plank Rd, Zachary, LA 70791-7465 | 2020-01-24 |
| 1578103503 | Association Retarded Citizens Baton Rouge | Day Training, Developmentally Disabled Services | 12616 Jefferson Hwy, Baton Rouge, LA 70816-6248 | 2020-01-07 |
| 1780185660 | Bobbie Mims | Day Training, Developmentally Disabled Services | 14966 Highway 9, Athens, LA 71003-3068 | 2018-02-26 |
| 1093253098 | Fresh Start Family Support Services | Day Training, Developmentally Disabled Services | 405 Hearne Ave, Shreveport, LA 71103-2021 | 2017-02-09 |
| 1659814697 | Therapeutic Approaches, Inc | Day Training, Developmentally Disabled Services | 1310 Powell, Monroe, LA 71203 | 2016-11-23 |
| 1326591793 | Alphacare Support | Day Training, Developmentally Disabled Services | 7809 Airline Dr., Ste. 210, Metairie, LA 70003 | 2016-08-02 |
| 1760839435 | Solomon Temple Ministries | Day Training, Developmentally Disabled Services | 1917 Harless St, Lake Charles, LA 70601-1036 | 2016-05-23 |
| 1376912204 | Allesha Adult Day Care and Health Center Inc. | Day Training, Developmentally Disabled Services | 4843 Viola St, New Orleans, LA 70126-4366 | 2015-09-22 |
| 1407243975 | Association of Retarded Citizens of Evangeline, Inc | Day Training, Developmentally Disabled Services | 109 West Lasalle St, Ville Platte, LA 70586 | 2015-04-22 |
| 1457756736 | Jasmine Care, LLC | Day Training, Developmentally Disabled Services | 9151 Interline Ave, Suite 6b, Baton Rouge, LA 70809-1970 | 2014-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BEAUREGARD ARC.
| 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.