NPIMap

Organization Active NPI

CLHG-Avoyelles, LLC

Doing business as Moreauville Family Care Center

  • Rural Health Clinic/Center
  • Moreauville, LA
National Provider Identifier
1669150876
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLHG-AVOYELLES, LLC
Doing business as
Moreauville Family Care Center
Practice address
10542 Hwy 1
Moreauville, LA 71355
Phone
(318) 785-0102
Fax
(318) 785-0103
NPI assigned
Jul 7, 2023
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Timothey Curry
Title
Ceo
Phone
(318) 240-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

10542 Hwy 1
Moreauville, LA 71355

Mailing address

PO Box 249
Marksville, LA 71351-0249
Phone (318) 240-6000

Other names 1

  • MOREAUVILLE FAMILY CARE CENTER Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180828001494 LA Part B Supplier - Clinic/Group Practice 8921380528 Receives reassigned benefits from 87 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marksville, LA; Moreauville, LA; Lecompte, LA; Hessmer, LA; Cottonport, LA
O20240201002770 LA Part A Provider - Rural Health Clinic 8921380528 Practice locations: Moreauville, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669150876. Details of each certification follow.

Rural health clinic certification: CCN 198550

Legal name
CLHG-AVOYELLES LLC
Doing business as
MOREAUVILLE FAMILY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 21, 2024
Last certification
Jun 21, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Enrollment address
10542 Highway 1
Moreauville, LA 71355-3051
Related CCNs
190099

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

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
19D2286148Moreauville Family Care Center10542 Hwy 1, Moreauville, LA 71355Certificate of waiverJul 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Avoyelles LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

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 Sep 1, 2016 30%
Corporate Officer Sep 1, 2016
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Sep 1, 2016 65%
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Operational/Managerial Control Sep 1, 2016
Timothey Curry Individual Corporate OfficerCeo Jan 9, 2024
W-2 Managing EmployeeCeo Jan 9, 2024
Operational/Managerial ControlCeo Jan 9, 2024
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2016 30%

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1669150876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713510249",
            "telephone_number": "318-240-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10542 HWY 1",
            "city": "MOREAUVILLE",
            "state": "LA",
            "postal_code": "71355",
            "telephone_number": "318-785-0102",
            "fax_number": "318-785-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-AVOYELLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "TIMOTHEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-240-6000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOREAUVILLE FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOREAUVILLE FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moreauville, LA

Sources for this page

Verify at the official NPI Registry.