KENTWOOD FAMILY CLINIC LLC
NPI 1780050294
Clinic/Center - Rural Health in Kentwood, LA
About Kentwood Family Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENTWOOD FAMILY CLINIC LLC (NPI 1780050294) is a healthcare organization registered as a rural health in Kentwood, Louisiana and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Nicole Howard, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kentwood Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kentwood Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2103494
Kentwood Family Clinic LLC · Kentwood, LAFrequently 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 Kentwood Family Clinic LLC's NPI number?
The NPI number for Kentwood Family Clinic LLC is 1780050294. It was assigned to this organization in the NPPES registry on August 19, 2015.
Where is Kentwood Family Clinic LLC located?
Kentwood Family Clinic LLC is located at 919 Avenue G, Kentwood, LA 70444. The listed phone number is (337) 991-9276.
What is Kentwood Family Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Kentwood Family Clinic LLC enrolled in Medicare?
Yes. Kentwood Family Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kentwood Family Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kentwood Family Clinic LLC, in Clinical Social Worker and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kentwood Family Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2103494) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Kentwood Family Clinic LLC accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Kentwood Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kentwood Family Clinic LLC was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kentwood Family Clinic Llc · NPI 1780050294
Rural Health organization in Kentwood, Louisiana. Organization record, active in the CMS NPPES registry since August 19, 2015.
## Identity
- **NPI:** 1780050294 (Entity type: Organization)
- **Enumerated:** August 19, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Nicole Howard, CEO
## Practice location
- **Address:** 919 AVENUE G, Kentwood, LA 70444
- **Phone:** (337) 991-9276 · **Fax:** (337) 991-9288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780050294) · Data from the CMS NPPES public registry.