PENNVILLE COMMUNITY HOME
NPI 1275739997
Intermediate Care Facility, Intellectual Disabilities in Gonzales, LA

Active since June 21, 2007
1238 N BARMAN AVE, GONZALES, LA 70737(225) 644-7994 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pennville Community Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNVILLE COMMUNITY HOME (NPI 1275739997) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gonzales, Louisiana and active in the NPI registry since June 2007. The organization lists Gary W. Borg, President, as its authorized official.

NPPES Registry Identity

NPI1275739997
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMEDICAL MANAGEMENT ENTERPRISES
Location Address1238 N BARMAN AVEGonzales, LA 70737-2440
Mailing AddressPo Box 819Gonzales, LA 70707-0819 · (225) 644-7994
Organization SubpartNo
Authorized OfficialGary W. BorgPresident · (225) 644-7994
Enumeration DateJune 21, 2007
Last NPPES UpdateSeptember 3, 2013
NPI 1275739997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in LA · 483
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1238 N BARMAN AVE, Gonzales, LA 70737

Other Names 1

Doing Business AsPennville Community Home

Other Identifiers 1

Medicaid1717223LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Management Enterprises's NPI number?

The NPI number for Medical Management Enterprises is 1275739997. It was assigned to this organization in the NPPES registry on June 21, 2007. The provider is doing business as Pennville Community Home.

Where is Medical Management Enterprises located?

Medical Management Enterprises is located at 1238 N Barman Ave, Gonzales, LA 70737. The listed phone number is (225) 644-7994.

What is Medical Management Enterprises's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Medical Management Enterprises was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.