MEDICAL MANAGEMENT ENTERPRISES NPI 1275739997

NPI Information

  • NPI: 1275739997
  • Provider Name: MEDICAL MANAGEMENT ENTERPRISES
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: PENNVILLE COMMUNITY HOME
  • Address: 1238 N BARMAN AVE
    GONZALES, LA
    ZIP 70737
  • Phone: (225) 644-7994

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NPI Details

MEDICAL MANAGEMENT ENTERPRISES is an intermediate care facility mentally retarded in Gonzales, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MEDICAL MANAGEMENT ENTERPRISES NPI is 1275739997. The provider is registered as an organization entity type.
The provider Is Doing Business As Pennville Community Home.

The provider's business location address is:

1238 N BARMAN AVE
GONZALES, LA
ZIP 70737-440
Phone: (225) 644-7994

The provider's authorized official is Gary W. Borg .
The authorized official title is President and has the following contact phone number (225) 644-7994.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 9/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities483LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11717223MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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