Organization Active NPI

HBS of Meridian, LLC

  • Psychiatric Hospital
  • Meridian, ID
National Provider Identifier
1003397878
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
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

Updated by the provider on Mar 24, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003397878MedicaidID

Other names 1

  • Cottonwood Creek Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Nov 7, 2017 in DE
Enrollment address
2131 S Bonito Way
Meridian, ID 83642-1659
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Cottonwood Creek Behavioral HospitalCCN 134017
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2154237HBS of Meridian LLC2131 S Bonito Way, Meridian, ID 83642Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Kevan Finley Individual W-2 Managing EmployeeAdministrator Jul 1, 2021
Haven Behavioral Services LLC Organization, Plano, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Haven Behavioral Healthcare Inc Organization, Plano, TX Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2021 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2025 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025 9.31%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 1, 2025 33.14%
Oceans Acquisition Inc Organization, Plano, TX Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Stuart L Archer Individual Corporate OfficerCeo/President Jan 1, 2025
Laura F Tarantino Individual Corporate OfficerEvp/Secretary Jan 1, 2025
Webster Equity Partners V, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025 49.73%
Haven Behavioral Services Holdings LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation 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.

View all 42

Practitioners & affiliated clinicians

Practitioners 12

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

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

Verify at the official NPI Registry.