Excellence in Total Care LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

EXCELLENCE IN TOTAL CARE LLC

Doing business as

Patterson Total Care Clinic

Practice address

1016 Main Street
Patterson, LA 70392

Phone

(985) 263-1216

Fax

(985) 263-1217

NPI assigned

Mar 17, 2021

Last updated

Oct 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary R Leblanc, FNPNPI 1073932687

Title

Owner

Phone

(985) 263-1216

Specialties & licenses 1

Addresses

Other names 1

• Patterson Total Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801471156. Details of each certification follow.

• CCN 198916 Rural health clinic · Active · Details

Rural health clinic certification: CCN 198916

Legal name

EXCELLENCE IN TOTAL CARE LLC

Doing business as

PATTERSON TOTAL CARE CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 18, 2023

Last certification

Jul 18, 2023

Ownership / control type

1B

Organization structure

LLCProprietary

Incorporated

Dec 8, 2020 in LA

Enrollment address

1016 Main St
Patterson, LA 70392

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

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Mary Ricaud Leblanc, FNP

  • Family Nurse Practitioner
  • Abbeville, LA
  • NPI 1073932687

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 1

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.

• Mary Ricaud Leblanc, FNP

  • Family Nurse Practitioner
  • Abbeville, LA
  • NPI 1073932687
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1801471156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2985",
            "city": "PATTERSON",
            "state": "LA",
            "postal_code": "703922985",
            "telephone_number": "985-263-1216",
            "fax_number": "985-263-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MAIN STREET",
            "city": "PATTERSON",
            "state": "LA",
            "postal_code": "70392",
            "telephone_number": "985-263-1216",
            "fax_number": "985-263-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-263-1216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Total Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patterson Total Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lashayla Harris, CRT
• Lylafe Hotard, NP

• Rural Health Clinic/Center in Patterson, LA
• Providers in Patterson, LA by specialty
• Rural Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.