NPIMap

Organization Active NPI

B & W Healthcare LLC

Doing business as Family Healthcare of Bedico

  • Rural Health Clinic/Center
  • Ponchatoula, LA
National Provider Identifier
1609439884
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
B & W HEALTHCARE LLC
Doing business as
Family Healthcare of Bedico
Family Healthcare of Bedico, LLC
Practice address
27455 Highway 22 Ste B
Ponchatoula, LA 70454-8107
Phone
(985) 206-9877
Fax
(985) 206-9875
NPI assigned
Apr 15, 2019
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Travis KingNPI 1659904407
Title
Owner, Manager
Phone
(985) 320-7156

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 1

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

Addresses

Primary practice location

27455 Highway 22 Ste B
Ponchatoula, LA 70454-8107

Mailing address

42378 Ott LN
Hammond, LA 70403-3232
Phone (985) 320-7156

Other identifiers 1

IdentifierTypeStateIssuer
2530798MedicaidLA

Other names 2

  • Family Healthcare of Bedico Doing business as
  • Family Healthcare of Bedico, LLC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230630000996 LA Part A Provider - Rural Health Clinic 4385003862 Practice locations: Ponchatoula, LA
O20260112003371 LA Part B Supplier - Clinic/Group Practice 4385003862 Receives reassigned benefits from 3 practitioners
Practice locations: Ponchatoula, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609439884. Details of each certification follow.

Rural health clinic certification: CCN 193957

Legal name
B & W HEALTHCARE LLC
Doing business as
FAMILY HEALTHCARE OF BEDICO
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 30, 2020
Last certification
Mar 30, 2023
Ownership / control type
1A
Most recent change of ownership
Jun 30, 2022 (1 total)
Organization structure
LLCProprietary
Enrollment address
27455 Highway 22
Ste B
Ponchatoula, LA 70454-8107

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

27455 Highway 22
#B
Ponchatoula, LA 70454
Phone (985) 206-9877

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
Kristen King Individual Corporate OfficerOffice Manager Jun 30, 2022
Corporate Director Jun 30, 2022
W-2 Managing EmployeeOffice Manager Jun 30, 2022
Travis King Individual 5% Or Greater Direct Ownership Interest Jun 30, 2022 100%
Corporate OfficerOfficer Jun 30, 2022
Corporate Director Jun 30, 2022
W-2 Managing EmployeeOwner Jun 30, 2022
B & W Healthcare LLC Organization, Hammond, LA LLC 5% Or Greater Direct Ownership Interest Jun 30, 2022
5% Or Greater Indirect Ownership Interest Jun 30, 2022

Owners & managing parties with NPI records 2

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

  • Kristen King, NP
    • Acute Care Nurse Practitioner
    • Hammond, LA
    • NPI 1003301375

    Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Travis King
    • Acute Care Nurse Practitioner
    • New Orleans, LA
    • NPI 1659904407

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

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": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1609439884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42378 OTT LN",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033232",
            "telephone_number": "985-320-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27455 HIGHWAY 22 STE B",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704548107",
            "telephone_number": "985-206-9877",
            "fax_number": "985-206-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & W HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "985-320-7156"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530798",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare of Bedico",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Healthcare of Bedico, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.