Organization Active NPI

Oceans Behavioral Hospital of Biloxi LLC

Doing business as Oceans Behavioral Hospital of Biloxi

  • Psychiatric Hospital
  • Biloxi, MS
National Provider Identifier
1063989010
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
OCEANS BEHAVIORAL HOSPITAL OF BILOXI LLC
Doing business as
Oceans Behavioral Hospital of Biloxi
Practice address
180 Debuys Rd
Biloxi, MS 39531-4402
Phone
(972) 464-0535
NPI assigned
Oct 29, 2018
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Laura F Tarantino
Title
Evp, Corporate Counsel
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

180 Debuys Rd
Biloxi, MS 39531-4402

Mailing address

3905 Hedgcoxe Rd Unit 250249
Plano, TX 75025-0840
Phone (972) 464-0022

Other names 1

  • Oceans Behavioral Hospital of Biloxi Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190207002097 MS Part A Provider - Hospital 2769720267 Practice locations: Biloxi, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063989010. Details of each certification follow.

Hospital certification: CCN 254012

Legal name
OCEANS BEHAVIORAL HOSPITAL OF BILOXI LLC
Doing business as
OCEANS BEHAVIORAL HOSPITAL OF BILOXI
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 27, 2019
Last certification
Feb 27, 2019
Beds
45
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Oct 4, 2018 in MS
Enrollment address
180 Debuys Rd
BLDG C
Biloxi, MS 39531-4402
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

Care Compare: Hospital

Medicare Care Compare
Listed as
Oceans Behavioral Hospital- BiloxiCCN 254012 · All quality measures
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
25D2085391Oceans Behavioral Hospital of Biloxi180 Debuys Road, Building C, Biloxi, MS 39531Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

180 Debuys Rd
#C
Biloxi, MS 39531
Phone (228) 388-0600

Ownership & related parties

All disclosed owners & managing parties 11

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, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 10.23%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 32.73%
Stuart L Archer Individual Corporate OfficerCeo Jan 5, 2019
Corporate DirectorCeo Jan 5, 2019
Operational/Managerial ControlCeo Jan 5, 2019
Laura F Tarantino Individual Corporate OfficerEvp, General Counsel Jan 5, 2019
Oceans Acquisitions Inc Organization, Plano, TX Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 5, 2019 100%
Operational/Managerial Control Jan 5, 2019
Webster Equity Partners V, LP Organization, Waltham, MA For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 51.14%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Feb 1, 2022 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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1063989010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 HEDGCOXE RD UNIT 250249",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750250840",
            "telephone_number": "972-464-0022",
            "fax_number": "972-464-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DEBUYS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314402",
            "telephone_number": "972-464-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANS BEHAVIORAL HOSPITAL OF BILOXI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EVP, CORPORATE COUNSEL",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceans Behavioral Hospital of Biloxi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.