PHC - Minden LP

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PHC - MINDEN LP

Practice address

346 Homer Rd
Minden, LA 71055-2834

Phone

(318) 377-4663

Fax

(318) 377-4699

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Victor E. Giovanetti

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Minden Medical Center Home Health Agency Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Louisiana in-Home Partner-I, LLC

  • Home Health Agency
  • Minden, LA
  • NPI 1275079568

  Sold to, 2017-01-01

  CMS change of ownership

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1598816100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274536",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552834",
            "telephone_number": "318-377-4663",
            "fax_number": "318-377-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC - MINDEN LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "GIOVANETTI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minden Medical Center Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Domonique Patterson, RSW
• Ellen A Patton, MA, PLPC
• Performance Physical Therapy of Minden, L.L.C.
• Cara Miccoli Permenter, MD
• PFC Medical LLC
• Phillips Family Medicine Clinic LLC
• Phillips Medical Corporation
• Elizabeth Ann Phillips, MD
• Physical Therapy Associates, Inc
• Brandy L Pickel, PHARM.D., R.PH.

• Home Health Agency in Minden, LA
• Providers in Minden, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.