NPIMap

Organization Active NPI

Medical Management Enterprises Inc

Doing business as Ridgeway House

  • Intellectual Disabilities Intermediate Care Facility
  • Gonzales, LA
National Provider Identifier
1447456066
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
707 Issued in LA
Legal business name
MEDICAL MANAGEMENT ENTERPRISES INC
Doing business as
Ridgeway House
Practice address
1808 S Shirley Ave
Gonzales, LA 70737-3922
Phone
(225) 644-7994
NPI assigned
Jun 21, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Gary W. Borg
Title
Vice-President
Phone
(225) 644-7994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 707 LA Primary

Addresses

Primary practice location

1808 S Shirley Ave
Gonzales, LA 70737-3922

Mailing address

PO Box 571
Gonzales, LA 70707-0571
Phone (225) 644-7994

Other identifiers 1

IdentifierTypeStateIssuer
1719722MedicaidLA

Other names 1

  • Ridgeway House Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447456066. Details of each certification follow.

  • CCN 19G436 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G436

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Ridgeway House
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 8, 1992
Last certification
Feb 24, 2026
Beds
8
Ownership / control type
Private (proprietary)
Facility address
1808 S. Shirley Ave.
Gonzales, LA 70737

National Provider Directory

National Provider Directory
Tax ID family
Medical Management Enterprises4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1808 S Shirley Ave
Gonzales, LA 70737
Phone (225) 644-7994

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1447456066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707070571",
            "telephone_number": "225-644-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 S SHIRLEY AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373922",
            "telephone_number": "225-644-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BORG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "225-644-7994"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1719722",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeway House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.