NPIMap

Organization Active NPI

La Bonne Vie Family Healthcare & Aesthetics, LLC

  • Rural Health Clinic/Center
  • Ville Platte, LA
National Provider Identifier
1235596024
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LA BONNE VIE FAMILY HEALTHCARE & AESTHETICS, LLC
Practice address
238 E Main St
Ville Platte, LA 70586-4606
Phone
(337) 363-5591
Fax
(337) 363-6565
NPI assigned
Jan 25, 2016
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Brittany F. Miller, APRNNPI 1255798344
Title
Owner
Phone
(337) 363-5591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X AP08602 LA
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

238 E Main St
Ville Platte, LA 70586-4606

Mailing address

238 E Main St
Ville Platte, LA 70586-4606
Phone (337) 363-5591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170222002318 LA Part B Supplier - Clinic/Group Practice 5890079602 Receives reassigned benefits from 2 practitioners
Practice locations: Ville Platte, LA
O20190912000532 LA Part A Provider - Rural Health Clinic 5890079602 Practice locations: Ville Platte, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235596024. Details of each certification follow.

Rural health clinic certification: CCN 193954

Legal name
LA BONNE VIE FAMILY HEALTHCARE & AESTHETICS LLC
Doing business as
LA BONNE VIE FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 2, 2020
Last certification
Mar 2, 2026
Ownership / control type
1A
Organization structure
OtherProprietary
Incorporated
Feb 4, 2016 in LA
Enrollment address
238 E Main St
Ville Platte, LA 70586-4606

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2172827La Bonne Vie Family Healthcare238 East Main Street, Ville Platte, LA 70586Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

238 E Main St
Ville Platte, LA 70586
Phone (337) 363-5591

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
La Bonne Vie Family Healthcare & Aesthetics LLC Organization, Ville Platte, LA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 2, 2020 50%
Operational/Managerial Control Mar 2, 2020 50%
Brittany F Miller Individual 5% Or Greater Direct Ownership InterestClinic Owner Feb 4, 2016 50%
5% Or Greater Indirect Ownership InterestClinic Owner Feb 4, 2016 50%
Operational/Managerial ControlPresident Feb 4, 2016 100%

Owners & managing parties with NPI records 1

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

  • Brittany Miller, FNP
    • Family Nurse Practitioner
    • Ville Platte, LA
    • NPI 1255798344

    5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 4

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": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1235596024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864606",
            "telephone_number": "337-363-5591",
            "fax_number": "337-363-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E MAIN ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864606",
            "telephone_number": "337-363-5591",
            "fax_number": "337-363-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BONNE VIE FAMILY HEALTHCARE & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-04-29",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-363-5591",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "AP08602",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.