BEAUREGARD ARC
NPI 1366512931
Day Training, Developmentally Disabled Services in Deridder, LA

Active since November 09, 2006
1209 SHIRLEY ST, DERIDDER, LA 70634(337) 462-2513(337) 462-2513 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beauregard Arc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUREGARD ARC (NPI 1366512931) is a healthcare organization registered as a day training, developmentally disabled services in Deridder, Louisiana and active in the NPI registry since November 2006. The organization lists Jackie L Hickman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366512931
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameBEAUREGARD ARC
Location Address1209 SHIRLEY STDeridder, LA 70634-3743
Mailing Address1209 Shirley StDeridder, LA 70634-3743 · (337) 462-2513 · Fax (337) 462-2513
Fax(337) 462-2513
Organization SubpartNo
Authorized OfficialJackie L HickmanExecutive Director · (337) 462-2513
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1366512931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
License Licensed in LA · ADC 2569
Definition
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.
1209 SHIRLEY ST, Deridder, LA 70634

Other Identifiers 3

Medicaid1963186LA
Medicaid1963194LA
Medicaid1963208LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
1209 SHIRLEY ST
DERIDDER, LA 70634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beauregard Arc's NPI number?

The NPI number for Beauregard Arc is 1366512931. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Beauregard Arc located?

Beauregard Arc is located at 1209 Shirley St, Deridder, LA 70634. The listed phone number is (337) 462-2513.

What is Beauregard Arc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Beauregard Arc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.