Organization Active NPI

M M Group LLC

  • Health Maintenance Organization
  • Prairieville, LA
National Provider Identifier
1376785386
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
M M GROUP LLC
Practice address
15360 Ryan Ave
Prairieville, LA 70769-4385
Phone
(225) 337-5906
Fax
(225) 744-3030
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Avis Rowan
Title
Owner/Administrator
Phone
(225) 337-5906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X LA Primary

Addresses

Primary practice location

15360 Ryan Ave
Prairieville, LA 70769-4385

Mailing address

15360 Ryan Ave
Prairieville, LA 70769-4385
Phone (225) 337-5906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376785386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15360 RYAN AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694385",
            "telephone_number": "225-337-5906",
            "fax_number": "225-744-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15360 RYAN AVE",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694385",
            "telephone_number": "225-337-5906",
            "fax_number": "225-744-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M M GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "AVIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "225-337-5906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.