BEAUREGARD ARC (NPI# 1902889991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902889991 |
| Entity Type | Organization |
| Organization Name | BEAUREGARD ARC |
| Other Organization Name | BEAUEREGARD ASSOCIATION FOR RETARDED CITIZENS INC |
| Practice Address |
1209 W Shirley St Deridder LA 70634 |
| Mailing Address |
1209 W Shirley St Po Box 13 Deridder LA 70634 |
| Practice Telephone | 3374622513 |
| Practice Fax Number | 3374622513 |
| Mailing Telephone | 3374622513 |
| Mailing Fax Number | 3374622513 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JACKIE LYNN HICKMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3374622513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beaueregard Association for Retarded Citizens Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366512931 | Beauregard Arc | Day Training, Developmentally Disabled Services | 1209 Shirley St, Deridder, LA 70634-3743 | 2006-11-09 |
| 1285838904 | Beauregard Arc | Day Training, Developmentally Disabled Services | 1209 Shirley St, Deridder, LA 70634-3743 | 2007-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEAUREGARD ARC | 221 Mahlon St, Deridder, LA 70634-4119 |
| Street Address |
1209 W SHIRLEY ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532603 | High Five Speech Therapy, LLC | Clinic/Center | 14427 Market North Dr, Baton Rouge, LA 70810-3639 | 2019-05-05 |
| 1588147045 | Esit, LLC | Clinic/Center | 7505 Pines Rd Ste 1200e, Shreveport, LA 71129-3935 | 2018-09-11 |
| 1568972396 | Greater Grace Charter Academy Inc | Clinic/Center | 21490b Highway 20, Vacherie, LA 70090-3614 | 2017-10-06 |
| 1851632699 | St. Nicholas Center for Children | Clinic/Center | 314 Broad St Ste B, Lake Charles, LA 70601-4224 | 2013-03-04 |
| 1003174830 | Neurological Rehabilitation Living Centers of Louisiana | Clinic/Center | 614 W 18th Ave, Covington, LA 70433-3063 | 2012-04-30 |
| 1982983870 | Therapy Center of Acadiana | Clinic/Center | 300 Park West Drive, Suite A, Scott, LA 70583 | 2011-08-09 |
| 1023151677 | Assoc for Retarded Citizens Ouachita | Clinic/Center | 901 N 4th St, Monroe, LA 71201-5909 | 2007-02-14 |
| 1801867833 | Pediatric Therapy Center | Clinic/Center | 1300 Jackson St, Alexandria, LA 71301-6929 | 2006-01-28 |
| 1134738511 | Attentive Residences | Clinic/Center | 31 Curtis Dr, New Orleans, LA 70126-1660 | 2020-07-30 |
| 1508252834 | Amian Care Services, LLC | Clinic/Center | 1454 Surrey St., Lafayette, LA 70501 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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| 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.