OrganizationActive
Lafourche Arc
NPI 1871645366 · Intellectual Disabilities Intermediate Care Facility · Thibodaux, LA
Provider details
- NPI number
- 1871645366
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ricky Bonvillain, Fiscal Services Director(985) 447-6214
- License
- 492 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 W Main St
Thibodaux, LA 70301-5216
Phone: (985) 447-6214
Fax: (985) 447-4813
Street-level locationGet directions
Mailing address
100 W Main St
Thibodaux, LA 70301-5216
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.