Organization Active NPI

Louisiana Family Practitioners LLC

Doing business as Evangeline Family Healthcare

  • Rural Health Clinic/Center
  • Ville Platte, LA
National Provider Identifier
1487050829
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
2203783231 Issued in LA
Legal business name
LOUISIANA FAMILY PRACTITIONERS LLC
Doing business as
Evangeline Family Healthcare
Practice address
420 Jack Miller Road
Ville Platte, LA 70586
Phone
(337) 363-5334
Fax
(337) 363-2624
NPI assigned
Nov 12, 2014
Last updated
Oct 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Matthew Sigler
Title
PM Consultant
Phone
(318) 201-5321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X 2203783231 LA Primary

Addresses

Primary practice location

420 Jack Miller Road
Ville Platte, LA 70586

Mailing address

420 Jack Miller Road
Ville Platte, LA 70586-5600
Phone (337) 363-5334

Other names 1

  • EVANGELINE FAMILY HEALTHCARE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161112000024 LA Part A Provider - Rural Health Clinic 8022397108 Practice locations: Ville Platte, LA
O20250424003208 LA Part B Supplier - Clinic/Group Practice 8022397108 Receives reassigned benefits from 2 practitioners
Practice locations: Ville Platte, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487050829. Details of each certification follow.

Rural health clinic certification: CCN 193930

Legal name
LOUISIANA FAMILY PRACTITIONERS, LLC
Doing business as
EVANGELINE FAMILY HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 5, 2017
Last certification
Jan 13, 2026
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Nov 12, 2014 in LA
Enrollment address
420 Jack Miller Rd
Ville Platte, LA 70586-5651

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2093328Evangeline Family Healthcare420 Jack Miller Road, Ville Platte, LA 70586Certificate of waiverMar 24, 2027

National Provider Directory

National Provider Directory

Locations

420 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 363-5334

504 Jack Miller Rd
Ville Platte, LA 70586
Phone (318) 473-9556

Ownership & related parties

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.

NameRoleSinceShare
Melissa a Vallet Individual 5% Or Greater Direct Ownership Interest Sep 19, 2017 100%
Corporate OfficerCeo Jan 1, 2015 100%
W-2 Managing EmployeeCeo Jan 1, 2015 100%
Operational/Managerial ControlCeo Jan 1, 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 2

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": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1487050829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 JACK MILLER ROAD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865600",
            "telephone_number": "337-363-5334",
            "fax_number": "337-363-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JACK MILLER ROAD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-5334",
            "fax_number": "337-363-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA FAMILY PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "SIGLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PM CONSULTANT",
        "authorized_official_telephone_number": "318-201-5321"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "LA",
            "license": "2203783231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANGELINE FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EVANGELINE FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.