Vidrine Rural Health Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

VIDRINE RURAL HEALTH CLINIC LLC

Doing business as

Vidrine Rural Health Clinic

Practice address

4940 Vidrine Rd Ste F
Ville Platte, LA 70586-8780

Phone

(337) 506-3500

Fax

(888) 927-0698

NPI assigned

Dec 30, 2020

Last updated

May 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Lahaye, MDNPI 1013988799

Title

Ceo

Phone

(337) 506-3500

Specialties & licenses 3

Addresses

Other names 1

• Vidrine Rural Health Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437746948. Details of each certification follow.

• CCN 198902 Rural health clinic · Active · Details

Rural health clinic certification: CCN 198902

Legal name

VIDRINE RURAL HEALTH CLINIC LLC

Doing business as

VIDRINE RURAL HEALTH CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 22, 2022

Last certification

Feb 22, 2025

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Dec 9, 2020 in LA

Enrollment address

4940 Vidrine Rd
Ste F
Ville Platte, LA 70586-8780

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Owners & managing parties with NPI records 1

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

• Nicholas Dupre Lahaye, M.D.

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1013988799

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

  CMS ownership

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.

• Leeanne Sonnier Ardoin, FNP

  • Family Nurse Practitioner
  • Ville Platte, LA
  • NPI 1003346768
  Medicare reassignment Care Compare group NPD
• Nicholas Dupre Lahaye, M.D.

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1013988799
  Medicare reassignment NPD Authorized official
• Noah Lahaye Miller, MD

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1619474145
  Medicare reassignment NPD
• Britney Foxworth Fontenot, PA-C

  • Physician Assistant
  • Ville Platte, LA
  • NPI 1790968832
  Care Compare group NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1437746948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD STE F",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868780",
            "telephone_number": "337-506-3500",
            "fax_number": "888-927-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VIDRINE RD STE F",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868780",
            "telephone_number": "337-506-3500",
            "fax_number": "888-927-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDRINE RURAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "LAHAYE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-506-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vidrine Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vidrine Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unlimited Home Care of Louisiana, Inc (Unlimited Home Care)
• Rylee Vallely
• Melissa Ann Vallet, FNP-C
• Brandi Lynn Vaughn
• Vidrine Community Clinic, LLC (Vidrine Community Clinic)
• Lori Elizabeth Vidrine-Parks, M.D.
• David L Vidrine, P. T.
• Jean Philippe Vidrine, DDS
• Steven B Vidrine, MD
• Vigilant Healthcare-Southwest, LLC

• Rural Health Clinic/Center in Ville Platte, LA
• Providers in Ville Platte, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.