NPIMap

Organization Active NPI

CLHG-Ville Platte LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Ville Platte, LA
National Provider Identifier
1962569079
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CLHG-VILLE PLATTE LLC
Practice address
800 E Main Street
Ville Platte, LA 70586-4615
Phone
(337) 363-9410
Fax
(337) 363-9488
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Calvin Green
Title
Authorized Official/Officer
Phone
(337) 278-6964

Specialties & licenses 1

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

Addresses

Primary practice location

800 E Main Street
Ville Platte, LA 70586-4615

Mailing address

800 E Main Street
Ville Platte, LA 70586-4615
Phone (337) 363-9410

Other names 1

  • Mercy Regional 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
O20180904002715 LA Part A Provider - Hospital 4486903309 Practice locations: Ville Platte, LA

Hospital certification: CCN 19U167

Legal name
CLHG-VILLE PLATTE LLC
Doing business as
MERCY REGIONAL MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
800 E Main St
Ville Platte, LA 70586-4618
Hospital Swing-Bed Unit
Hospital subgroups
Rehabilitation unit

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).

National Provider Directory

National Provider Directory
Tax ID family
CLHG-Ville Platte LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

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 Corporate OfficerBoard Member Aug 1, 2018
Corporate DirectorBoard Member Aug 1, 2018
Operational/Managerial ControlBoard Member Aug 1, 2018
Rock Bordelon Individual 5% Or Greater Direct Ownership Interest Aug 1, 2018 80%
Corporate OfficerBoard Member Aug 1, 2018
Allegiance Health Management Inc Organization, Bossier City, LA Corporation Limited Partnership Interest Aug 1, 2018
Operational/Managerial Control Aug 1, 2018
Kevin Ardoin Individual Corporate OfficerCeo Jan 1, 2026 100%
W-2 Managing EmployeeCeo Jan 1, 2026 100%
Cameron Investments LLC Organization, Shreveport, LA LLC 5% Or Greater Direct Ownership Interest Aug 1, 2018 16%

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 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1962569079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MAIN STREET",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864615",
            "telephone_number": "337-363-9410",
            "fax_number": "337-363-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MAIN STREET",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864615",
            "telephone_number": "337-363-9410",
            "fax_number": "337-363-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLHG-VILLE PLATTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OFFICER",
        "authorized_official_telephone_number": "337-278-6964"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.