NPIMap

Organization Active NPI

Louisiana Quick Care LLC

  • Rural Health Clinic/Center
  • Pineville, LA
National Provider Identifier
1487046835
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOUISIANA QUICK CARE LLC
Practice address
12805 Highway 28 E Ste B
Pineville, LA 71360-0734
Phone
(318) 466-5151
Fax
(318) 466-3535
NPI assigned
Feb 23, 2015
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Louis CrenshawNPI 1114994746
Title
Owner
Phone
(318) 466-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X RN089438 LA
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

12805 Highway 28 E Ste B
Pineville, LA 71360-0734

Mailing address

12805 Highway 28 E Ste B
Pineville, LA 71360-0734
Phone (318) 466-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150330000402 LA Part A Provider - Rural Health Clinic 1355668401 Practice locations: Pineville, LA
O20160707000724 LA Part B Supplier - Clinic/Group Practice 1355668401 Receives reassigned benefits from 8 practitioners
Practice locations: Pineville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487046835. Details of each certification follow.

Rural health clinic certification: CCN 193906

Legal name
LOUISIANA QUICK CARE LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 25, 2013
Last certification
Jun 25, 2025
Ownership / control type
1A
Most recent change of ownership
Feb 13, 2015 (1 total)
Organization structure
OtherProprietary
Incorporated
Feb 13, 2015 in LA
Enrollment address
12805 Highway 28 E B
Pineville, LA 71360-0734

National Provider Directory

National Provider Directory

Locations

12805 Highway 28 E
Ste B
Pineville, LA 71360
Phone (318) 466-5151

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Louisiana Quick Care LLC Organization, Pineville, LA LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 13, 2015 100%
Brandy Wiley Individual W-2 Managing Employee Feb 13, 2015
Louis V Crenshaw Individual 5% Or Greater Direct Ownership Interest Feb 13, 2015 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1487046835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 28 E STE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600734",
            "telephone_number": "318-466-5151",
            "fax_number": "318-466-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 HIGHWAY 28 E STE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713600734",
            "telephone_number": "318-466-5151",
            "fax_number": "318-466-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA QUICK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-466-5151"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "RN089438",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.