NPIMap

Organization Active NPI

North Oaks Medical Center, LLC

Doing business as North Oaks Hospice

  • Community Based Hospice Care Agency
  • Hammond, LA
National Provider Identifier
1053397877
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
23 Issued in LA
Legal business name
NORTH OAKS MEDICAL CENTER, LLC
Doing business as
North Oaks Hospice
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone
(985) 230-7620
Fax
(985) 230-7636
NPI assigned
Dec 22, 2005
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Mr. Mark T Anderson
Title
Chief Financial Officer
Phone
(985) 230-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 23 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 386-5161

Other identifiers 3

IdentifierTypeStateIssuer
1580082MedicaidLA
1845336OtherUNITED HEALTH CARE
33764OtherLABLUE CROSS

Other names 1

  • North Oaks Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181114001030 LA Part A Provider - Hospice 2466629522 Practice locations: Hammond, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053397877. Details of each certification follow.

Hospice certification: CCN 191522

Legal name
NORTH OAKS MEDICAL CENTER LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 21, 1992
Last certification
Feb 17, 2022
Ownership / control type
Non-Profit - Other
Organization structure
LLCNon-profit
Enrollment address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
North Oaks HospiceCCN 191522 · All quality measures
Ownership
Other
Certified
Jul 21, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
North Oaks Med Center LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Hospital Service District #1 of Tangipahoa Organization, Hammond, LA Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2012 100%
North Oaks Medical Center LLC Organization, Hammond, LA LLC, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2012 100%
Mark T Anderson Individual Operational/Managerial ControlChief Financial Officer Oct 1, 2018 100%
Michele K Sutton Individual Operational/Managerial ControlExecutive VP / Chief of Operatin Jan 1, 2018 100%

Owners & managing parties with NPI records 6

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

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1053397877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-386-5161",
            "fax_number": "985-386-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-7620",
            "fax_number": "985-230-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-230-6602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1580082",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1845336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "33764",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oaks Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Oaks Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.