NPIMap

Organization Active NPI

Savoy Medical Management Group, Inc.

Doing business as Savoy Family Care

  • Rural Health Clinic/Center
  • Eunice, LA
National Provider Identifier
1306172085
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
148 Issued in LA
Legal business name
SAVOY MEDICAL MANAGEMENT GROUP, INC.
Doing business as
Savoy Family Care
Practice address
102 S 2ND St
Eunice, LA 70535
Phone
(337) 457-3135
Fax
(337) 457-2904
NPI assigned
Oct 30, 2009
Last updated
Mar 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Mr. Michael Wayne Johnson, CPA
Title
President
Phone
(337) 468-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 148 LA Primary

Addresses

Primary practice location

102 S 2ND St
Eunice, LA 70535

Mailing address

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-0355

Other identifiers 2

IdentifierTypeStateIssuer
193401OtherMEDICARE
1947911MedicaidLA

Other names 1

  • Savoy Family Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000408 LA Part A Provider - Rural Health Clinic 1557403953 Practice locations: Eunice, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306172085. Details of each certification follow.

Rural health clinic certification: CCN 193401

Legal name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Doing business as
SAVOY FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 3, 1995
Last certification
Oct 21, 2019
Ownership / control type
2B
Most recent change of ownership
Jan 1, 2010 (4 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2010 in LA
Enrollment address
102 S 2ND St
Eunice, LA 70535-4608
Related CCNs
190025

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

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory
Tax ID family
Rehab Physician Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Michael W Johnson Individual Corporate OfficerPresident Jan 1, 2015
Vicky Hundley Individual Corporate DirectorBoard Member Jan 1, 2024
Town of Mamou Organization, Mamou, LA 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Eugene Burge Individual Corporate DirectorBoard Member Jan 12, 2022
Lovelin Poncho Individual Corporate DirectorBoard Member Mar 1, 2015
Thomas F Fuselier Individual Corporate DirectorBoard Member Jan 11, 2023
Brian D Denton Individual Corporate Director Sep 9, 2024
W-2 Managing EmployeeChief Executive Officer Sep 9, 2024
Francisco Cantu Individual Corporate DirectorBoard Member May 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1306172085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-0355",
            "fax_number": "337-468-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 2ND ST",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "70535",
            "telephone_number": "337-457-3135",
            "fax_number": "337-457-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOY MEDICAL MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-468-0355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "193401",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savoy Family Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Savoy Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.