NPIMap

Organization Active NPI

University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
National Provider Identifier
1023717683
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
UNIVERSITY HEALTHCARE SYSTEM, L.C.
Practice address
4200 Houma Blvd
Metairie, LA 70006-2970
Phone
(504) 503-7152
NPI assigned
Mar 2, 2023
Last updated
Mar 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Nielsen
Title
Interim Ceo
Phone
(308) 696-7496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

4200 Houma Blvd
Metairie, LA 70006-2970

Mailing address

3120 Lime St
Metairie, LA 70006-5310
Phone (504) 503-7152

Other names 1

  • East Jefferson General Hospital EMS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000478 LA Part A Provider - Hospital 3375457435 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023717683. Details of each certification follow.

Hospital certification: CCN 190176

Legal name
UNIVERSITY HEALTHCARE SYSTEM, L.C.
Doing business as
EAST JEFFERSON GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Dec 6, 1976
Last certification
Mar 1, 2025
Beds
665 (641 certified)
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 1, 2023 (4 total)
Organization structure
LLCNon-profit
Incorporated
Feb 2, 1995 in LA
Enrollment address
4200 Houma Blvd
Metairie, LA 70006-2970
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric, Rehabilitation, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
East Jefferson General HospitalCCN 190176 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Thiravat Choojitarom15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

3120 Lime St
Metairie, LA 70006
Phone (504) 424-4444

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bradley Sinclair Individual Corporate OfficerCfo Mar 15, 2024
W-2 Managing Employee Mar 15, 2024
Operational/Managerial Control Mar 15, 2024
Louisiana Children's Medical Center Organization, New Orleans, LA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
John F Heaton Individual Corporate Director Jan 1, 2023
Patrice Delafontaine Individual Corporate Director Jan 17, 2023
Maurice Lagarde Individual Operational/Managerial Control Jan 17, 2023
Gregory C Feirn Individual Corporate Director Jan 1, 2023
Gabriella Pridjian Individual Corporate Director Jan 17, 2023
Lotuce Hamm Individual Corporate Director Jan 17, 2023
Gregory a Nielsen Individual Corporate Officer Jan 1, 2023
W-2 Managing EmployeeAd; Jan 1, 2023
Operational/Managerial Control Jan 1, 2023
Aaron Dumont Individual Corporate Director Jan 17, 2023
Patrick Norton Individual Corporate Director Jan 17, 2023
Joann L Kunkel Individual Corporate Director Jan 17, 2023

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,185

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,185

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1023717683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 LIME ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065310",
            "telephone_number": "504-503-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-503-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE SYSTEM, L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "308-696-7496"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Jefferson General Hospital EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.