NPIMap

Organization Active NPI

Savoy Medical Management Group, Inc.

Doing business as Savoy Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Mamou, LA
National Provider Identifier
1891356622
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
SAVOY MEDICAL MANAGEMENT GROUP, INC.
Doing business as
Savoy Medical Center
Practice address
801 Poinciana Ave
Mamou, LA 70554-2243
Phone
(337) 468-5261
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Eugene H BurgeNPI 1831273879
Title
Ceo
Phone
(337) 468-0355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

801 Poinciana Ave
Mamou, LA 70554-2243

Mailing address

801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-5261

Other names 1

  • Savoy Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190717004053 LA Part A Provider - Hospital 1557403953 Practice locations: Mamou, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891356622. Details of each certification follow.

Hospital certification: CCN 19U025

Legal name
SAVOY MEDICAL MANAGEMENT GROUP, INC
Doing business as
SAVOY MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2010 in LA
Enrollment address
801 Poinciana Ave
Mamou, LA 70554-2243
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory
Tax ID family
Rehab Physician Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael W Johnson Individual Corporate OfficerPresident, Board Member Nov 17, 2015
Vicky Hundley Individual Corporate DirectorBoard Member Jan 1, 2024
Town of Mamou Organization, Mamou, LA Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Operational/Managerial Control Jan 1, 2010 100%
Eugene Burge Individual Corporate DirectorBoard Member - Vice President Jan 12, 2022
Lovelin Poncho Individual Corporate DirectorBoard Member Mar 1, 2015
Thomas F Fuselier Individual Corporate DirectorBoard Member Jan 11, 2023
Brian D Denton Individual Corporate Director Sep 9, 2024
W-2 Managing EmployeeChief Executive Officer Sep 9, 2024
Francisco Cantu Individual Corporate DirectorBoard Member May 1, 2018

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1891356622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542243",
            "telephone_number": "337-468-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVOY MEDICAL MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-468-0355"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Savoy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mamou, LA

Sources for this page

Verify at the official NPI Registry.