NPIMap

Organization Active NPI

Louisiana Health Care Practitioners LLC

Doing business as Mansura Family Clinic

  • Rural Health Clinic/Center
  • Mansura, LA
National Provider Identifier
1811065220
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOUISIANA HEALTH CARE PRACTITIONERS LLC
Doing business as
Mansura Family Clinic
Practice address
6615 St Phillip St
Mansura, LA 71350-0367
Phone
(337) 945-8824
Fax
(318) 941-2388
NPI assigned
Dec 1, 2006
Last updated
Jun 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Mrs. Emily Dupuis
Title
Administration
Phone
(800) 462-0742

Specialties & licenses 1

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

Addresses

Primary practice location

6615 St Phillip St
Mansura, LA 71350-0367

Mailing address

PO Box 1127
Cottonport, LA 71327-1127
Phone (800) 462-0742

Other names 1

  • Mansura Family Clinic Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070208000308 LA Part A Provider - Rural Health Clinic 5597767244 Practice locations: Mansura, LA
O20070320000485 LA Part B Supplier - Clinic/Group Practice 5597767244 Receives reassigned benefits from 41 practitioners
6 other NPIs on this enrollment
Practice locations: Cottonport, LA; Mansura, LA; Marksville, LA; Palmetto, LA; Simmesport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811065220. Details of each certification follow.

Rural health clinic certification: CCN 193880

Legal name
LOUISIANA HEALTH CARE PRACTITIONERS,LLC
Doing business as
MANSURA FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 12, 2007
Last certification
Nov 21, 2018
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Nov 6, 2006 in LA
Enrollment address
6615 St Phillip St
Mansura Family Clinic
Mansura, LA 71350

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 5

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
19D1067287Mansura Family Clinic6615 St Phillip Street, Mansura, LA 71350Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
Louisiana Health Care Practitionersllc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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
April R Crocker Individual Corporate Officer Jun 1, 2022 100%
W-2 Managing EmployeeBilling\Credentialing Administrator Nov 20, 2020 100%
Herndon Martin Jeansonne Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Mar 1, 2011 100%
Corporate OfficerChief Executive Officer Mar 1, 2011 100%
W-2 Managing Employee Mar 1, 2011 100%
Operational/Managerial Control Mar 1, 2011 100%
Louisiana Health Care Practitioners,LLC Organization, Cottonport, LA LLC Operational/Managerial Control Mar 1, 2011 100%

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Cottonport Family ClinicCottonport, LA, CCN 193869 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2008
Marksville Family ClinicMarksville, LA, CCN 193931 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2017
Jul 1, 2017

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1811065220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713271127",
            "telephone_number": "800-462-0742",
            "fax_number": "318-964-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 ST PHILLIP ST",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713500367",
            "telephone_number": "337-945-8824",
            "fax_number": "318-941-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTH CARE PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "DUPUIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "800-462-0742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansura Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansura Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansura, LA

Sources for this page

Verify at the official NPI Registry.