NPIMap

Organization Active NPI

CLHG - Minden, LLC

  • Rehabilitation Hospital Unit
  • Minden, LA
National Provider Identifier
1578633392
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLHG - MINDEN, LLC
Practice address
1 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 377-2321
Fax
(318) 371-5606
NPI assigned
Nov 9, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
James Russell Williams
Title
Ceo
Phone
(318) 371-5601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

1 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 377-2321

Other identifiers 2

IdentifierTypeStateIssuer
1767085MedicaidLA
60534OtherLABLUE CROSS REHAB UNIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180822002338 LA Part A Provider - Hospital 3779832456 Practice locations: Minden, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578633392. Details of each certification follow.

Hospital certification: CCN 19T144

Legal name
CLHG - MINDEN, LLC
Doing business as
MINDEN MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
1 Medical Plaza PL
Minden, LA 71055-3330
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Minden Medical Center RehabCCN 19T144 · All quality measures
Ownership
For profit
Certified
Sep 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Minden LLC4 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.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

3 Medical Plaza Pl
Ste 3
Minden, LA 71055
Phone (318) 371-4042

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Donald Cameron Individual 5% Or Greater Indirect Ownership Interest Aug 1, 2018 16%
Corporate OfficerBoard Member Aug 1, 2018
Operational/Managerial ControlBoard Member Aug 1, 2018
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 80%
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Operational/Managerial Control Aug 1, 2018
Leonard Cox Individual Corporate OfficerCeo Jan 1, 2023 100%
Corporate DirectorCeo Jan 1, 2023 100%
W-2 Managing EmployeeCeo Jan 1, 2023 100%
Operational/Managerial ControlCeo Jan 1, 2023 100%
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 16%

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Women's ClinicMinden, LA, CCN 193879 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2018
Minden Primary CareMinden, LA, CCN 193890 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2018
Minden Medical Clinic of HaughtonHaughton, LA, CCN 198913 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 53

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 53

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1578633392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-2321",
            "fax_number": "318-371-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-2321",
            "fax_number": "318-371-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG - MINDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-371-5601"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1767085",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REHAB UNIT",
            "identifier": "60534",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.