OrganizationActive
Acadiana Region Supports & Services Center
NPI 1962542910 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jennings, LA
Provider details
- NPI number
- 1962542910
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Acadiana Region Supports & Services Center
- Organization subpart
- Yes
- Authorized official
- Samuel Mcdaniel, Mr Dd Regional Administrator(337) 824-6250
- License
- 279 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 279 (LA)
Residential Treatment Facilities
Practice location
1103 N Church St
Jennings, LA 70546-4707
Phone: (337) 821-9301
Fax: (337) 821-9306
Approximate (ZIP-level) locationGet directions
Mailing address
224 Gremillion Circle
Iota, LA 70543
Other names (DBA / former)
- Other name
- Church St Community Home
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2007-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.