NPIMap

Organization Active NPI

CLHG-Ville Platte LLC

Doing business as Mercy Regional Medical Center

  • Psychiatric Hospital Unit
  • Ville Platte, LA
National Provider Identifier
1063185502
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
CLHG-VILLE PLATTE LLC
Doing business as
Mercy Regional Medical Center
Practice address
800 E Main St
Ville Platte, LA 70586-4618
Phone
(337) 363-5684
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CLHG-VILLE PLATTE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristopher Aguillard
Title
Chief Executive Officer
Phone
(337) 363-9486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

800 E Main St
Ville Platte, LA 70586-4618

Mailing address

800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684

Other names 1

  • Mercy Regional Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210824003627 LA Part A Provider - Hospital 4486903309 Practice locations: Ville Platte, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063185502. Details of each certification follow.

Hospital certification: CCN 19S167

Legal name
CLHG-VILLE PLATTE LLC
Doing business as
MERCY REGIONAL MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
800 E Main St
Ville Platte, LA 70586-4618
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Ville Platte LLC9 organizations share this tax ID, including this one
Part of
CLHG-Ville Platte LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Donald Cameron Individual Corporate OfficerBoard Member Aug 1, 2018
Corporate DirectorBoard Member Aug 1, 2018
Operational/Managerial ControlBoard Member Aug 1, 2018
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 80%
Corporate OfficerBoard Member Aug 1, 2018
Allegiance Health Management Inc Organization, Shreveport, LA Corporation Limited Partnership Interest Aug 1, 2018
Operational/Managerial Control Aug 1, 2018
Kevin Ardoin Individual Corporate OfficerCeo Jan 1, 2026 100%
W-2 Managing EmployeeCeo Jan 1, 2026 100%
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 16%

Facilities with the same owner 53

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 53

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1063185502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-363-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864618",
            "telephone_number": "337-363-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-VILLE PLATTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLHG-VILLE PLATTE LLC",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "AGUILLARD",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-363-9486"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.