Active NPI
HBS of Meridian, LLC
- Psychiatric Hospital
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- HBS OF MERIDIAN, LLC
- Practice address
- 2131 S Bonito Way
Meridian, ID 83642-1659 - Phone
- (208) 202-4700
- Fax
- (208) 629-1711
- NPI assigned
- Aug 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Tarantino
- Title
- Evp
- Phone
- (972) 464-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | Primary |
Addresses
Primary practice location
2131 S Bonito Way
Meridian, ID 83642-1659
Mailing address
3102 West End Avenue
Suite 1000
Nashville, TN 37203-1324
Phone (615) 393-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003397878 | Medicaid | ID |
Other names 1
- Cottonwood Creek Behavioral Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181026000470 | ID | Part A Provider - Hospital | 9436402138 | Practice locations: Meridian, ID |
| O20190114000869 | ID | Part B Supplier - Clinic/Group Practice | 9436402138 |
Receives reassigned benefits from 2 practitioners Practice locations: Meridian, ID |
Hospital certification: CCN 134017
- Legal name
- HBS OF MERIDIAN LLC
- Doing business as
- COTTONWOOD CREEK BEHAVIORAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Mar 7, 2019
- Last certification
- Mar 28, 2025
- Beds
- 92
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Incorporated
- Nov 7, 2017 in DE
- Enrollment address
- 2131 S Bonito Way
Meridian, ID 83642-1659 - Hospital subgroups
- Psychiatric
Care Compare: Hospital
Medicare Care Compare- Listed as
- Cottonwood Creek Behavioral Hospital
- Type
- Psychiatric
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2154237 | HBS of Meridian LLC | Certificate of waiver | Sep 9, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Oceans Midco, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Kevan Finley | W-2 Managing Employee | Jul 1, 2021 | |
| Haven Behavioral Services LLC | 5% Or Greater Direct Ownership Interest | Sep 1, 2018 | 100% |
| Oceans Topco, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Oceans Ultimate Holdco, LP | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Haven Behavioral Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 100% |
| Oceans Ultimate Holdco GP, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 1% |
| Wasque Partners II Spe, LP | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 9.31% |
| Webster Oceans Co-Investment Fund, LP | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 33.14% |
| Oceans Acquisition Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Stuart L Archer | Corporate Officer | Jan 1, 2025 | |
| Laura F Tarantino | Corporate Officer | Jan 1, 2025 | |
| Webster Equity Partners V, LP | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 49.73% |
| Haven Behavioral Services Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 1, 2018 | 100% |
| Oceans Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
Facilities with the same owner 42
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Meridian, ID
- NPI 1578337622
Webster Equity Partners V, LP
-
- Home Health Agency
- Allston, MA
- NPI 1720386378
Webster Equity Partners V, LP
-
- Psychiatric Hospital
- Longview, TX
- NPI 1306146733
Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP
-
- Psychiatric Hospital
- Midland, TX
- NPI 1396184180
Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP
-
- Psychiatric Hospital
- Norman, OK
- NPI 1972385672
Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Equity Partners V, LP, Webster Oceans Co-Investment Fund, LP
-
- Respite Care
- Washington, DC
- NPI 1225533086
Webster Equity Partners V, LP
-
- Home Health Agency
- Indianapolis, IN
- NPI 1437544475
Webster Equity Partners V, LP
-
- Psychiatric Hospital
- Albuquerque, NM
- NPI 1093079303
Haven Behavioral Healthcare Inc, Haven Behavioral Services Holdings LLC, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP
-
- Psychiatric Hospital
- Dayton, OH
- NPI 1831460229
Haven Behavioral Healthcare Inc, Haven Behavioral Services Holdings LLC, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP
-
- Psychiatric Hospital
- Philadelphia, PA
- NPI 1912341629
Haven Behavioral Healthcare Inc, Haven Behavioral Services Holdings LLC, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP
-
- Psychiatric Hospital
- Phoenix, AZ
- NPI 1275716896
Haven Behavioral Healthcare Inc, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP, Wasque Partners II Spe, LP, Webster Eq
-
- Psychiatric Hospital
- Reading, PA
- NPI 1629384292
Haven Behavioral Healthcare Inc, Haven Behavioral Services Holdings LLC, Haven Behavioral Services LLC, Oceans Acquisition Inc, Oceans Buyer, Inc., Oceans Midco, Inc., Oceans Topco, Inc., Oceans Ultimate Holdco GP, LLC, Oceans Ultimate Holdco, LP
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boise, ID
- NPI 1164173639
-
- Professional Counselor
- Boise, ID
- NPI 1831378678
-
- Psychiatry Physician
- Boise, ID
- NPI 1073545703
-
- Child & Adolescent Psychiatry Physician
- Boise, ID
- NPI 1588000996
-
- Psychiatry Physician
- Boise, ID
- NPI 1548290711
-
- Child & Adolescent Psychiatry Physician
- Boise, ID
- NPI 1962663633
-
- Psychiatry Physician
- Garden City, ID
- NPI 1215965199
-
- Psychiatry Physician
- Meridian, ID
- NPI 1457885527
-
- Psychiatry Physician
- Boise, ID
- NPI 1932139961
-
- Psychiatry Physician
- Boise, ID
- NPI 1699207647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1003397878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 WEST END AVENUE",
"address_2": "SUITE 1000",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031324",
"telephone_number": "615-393-8800",
"fax_number": "615-393-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S BONITO WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421659",
"telephone_number": "208-202-4700",
"fax_number": "208-629-1711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HBS OF MERIDIAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "TARANTINO",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "EVP",
"authorized_official_telephone_number": "972-464-0022"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003397878",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cottonwood Creek Behavioral Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.