NPIMap

Organization Active NPI

LLC-I, LLC

Doing business as Louisiana Extended Care Hospital of Natchitoches

  • Long Term Care Hospital
  • Natchitoches, LA
National Provider Identifier
1083715841
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
LLC-I, LLC
Doing business as
Louisiana Extended Care Hospital of Natchitoches
Practice address
501 Keyser Ave
4TH Floor
Natchitoches, LA 71457-6018
Phone
(318) 354-2044
Fax
(318) 354-2041
NPI assigned
Sep 26, 2006
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Mr. Marcus D. Macip
Title
Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

501 Keyser Ave
4TH Floor
Natchitoches, LA 71457-6018

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other identifiers 2

IdentifierTypeStateIssuer
1700398MedicaidLA
190061427ZOtherLABLUE CROSS BLUE SHIELD OF

Other names 1

  • Louisiana Extended Care Hospital of Natchitoches Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061003000685 LA Part A Provider - Hospital 1456356013 Practice locations: Natchitoches, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083715841. Details of each certification follow.

Hospital certification: CCN 192035

Legal name
LLC-I, LLC
Doing business as
LOUISIANA EXTENDED CARE HOSPITAL OF NATCHITOCHES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 28, 2002
Last certification
Jan 8, 2020
Beds
20
Ownership / control type
Private (for profit)
Most recent change of ownership
Sep 29, 2006 (3 total)
Organization structure
LLCProprietary
Incorporated
Jul 22, 2005 in LA
Enrollment address
501 Keyser Ave
FL 4
Natchitoches, LA 71457-6018
Other Hospital Practice Location
Hospital subgroups
Long-term

Other NPIs with the same Medicare PAC ID 1

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

  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975

    1456356013

    Same PAC ID

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Louisiana Extended Care Hospital of NatchitochesCCN 192035 · All quality measures
Ownership
For profit
Certified
Mar 28, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Beds
20

National Provider Directory

National Provider Directory
Tax ID family
LLC-I LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975
    NPD tax ID

Member of 1

Organizations this organization is a member of, according to 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
John E Rivoire Individual W-2 Managing EmployeeAdministrator Feb 24, 2020
Natchitoches Parish Hospital Service District Organization, Natchitoches, LA 5% Or Greater Direct Ownership Interest Feb 24, 2024 51%
Megan Castille Individual W-2 Managing EmployeeDirector of Nursing Aug 13, 2021
NPG, LLC Organization, Natchitoches, LA LLC 5% Or Greater Direct Ownership Interest Sep 29, 2006 49%
Damian Kirk Soileau Individual Corporate OfficerChief Executive Officer Feb 24, 2024

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

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

  • LLC-I, LLC

    dba Louisiana Extended Care Hospital of Natchitoches

    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975

    Natchitoches Parish Hospital Service District, NPG, LLC

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1083715841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "address_2": "4TH FLOOR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-354-2044",
            "fax_number": "318-354-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLC-I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MACIP",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700398",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "190061427Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Extended Care Hospital of Natchitoches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.