Active NPI
M M Group LLC
- Health Maintenance Organization
- Prairieville, LA
National Provider Identifier
1376785386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.