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Children'S Hospital

Organization Active NPI Children's Hospital · New Orleans, LA

NPI 1104819366 · NPPES record last updated Oct 20, 2021

Key facts

NPI
1104819366
Entity type
Organization (NPI type 2)
Primary specialty
Children's Hospital 282NC2000X
License
256 (LA)
Legal business name
CHILDREN'S HOSPITAL
Practice address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone
(504) 896-9511
Fax
(504) 896-9700
NPI assigned
Aug 23, 2005
Organization subpart
No

Authorized official

Name
Lucio Fragouso
Title
Cfo
Phone
(504) 896-9461

Owners & managing parties with NPI records 5

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 9

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

Facilities with the same owner 12

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

Practitioners 117

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

View all 117

Affiliated clinicians 57

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

View all 57

Medicare Care Compare: Hospital

Listed as
Childrens Hospital CCN 193300
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Hospital certification: CCN 193300

Legal name
CHILDREN'S HOSPITAL
Doing business as
MANNING FAMILY CHILDREN'S
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Oct 26, 2024
Beds
227
Ownership / control type
Private (not for profit)
Organization structure
Corporation · Non-profit
Enrollment address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Main/Primary Hospital Location
Hospital subgroups
Children’s

All disclosed owners & managing parties 33

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

NameRoleSinceShare
A W Hugley
Individual 		Corporate Director Apr 30, 2009
Tod Smith
Individual 		Corporate Director May 23, 2019
Ralph Brennan
Individual 		Corporate Director Apr 30, 2009
Elwood Cahill
Individual 		Corporate Director Apr 30, 2009
Elizabeth Lauricella
Individual 		Corporate Director Apr 30, 2009
Louisiana Children'S Medical Center
Organization · New Orleans, LA 		5% Or Greater Direct Ownership Interest Jul 13, 2009
Operational/Managerial Control Jul 13, 2009
Walton Goldring
Individual 		Corporate Director Mar 29, 2018
Philip Claverie
Individual 		Corporate Director Apr 30, 2009
Andrea Chen
Individual 		Corporate Director Jul 22, 2021
Katie Crosby
Individual 		Corporate Director Mar 27, 2008
Anthony Recasner
Individual 		Corporate Director Apr 30, 2009
Matthew Garrett Timmons
Individual 		W-2 Managing Employee Jun 1, 2023
Marilee Kennan Hovet
Individual 		Corporate Director Apr 27, 2023
John R Nickens
Individual 		W-2 Managing Employee Nov 1, 2017
Lucio Fragoso
Individual 		Corporate Officer
Ceo		 Jan 21, 2021
W-2 Managing Employee
Ceo		 Jan 21, 2021
William H Langenstein
Individual 		Corporate Director Apr 27, 2023
Jessica Brandt
Individual 		Corporate Director Sep 24, 2020
John Pearce
Individual 		Corporate Director Apr 30, 2009
Children'S Hospital
Organization · New Orleans, LA 		Operational/Managerial Control Jan 1, 2004
Gregory St. Etienne
Individual 		Corporate Director Mar 25, 2021
Elizabeth Sullivan
Individual 		Corporate Director Apr 30, 2009
Jessica Cahill
Individual 		Corporate Officer
Cfo		 Jan 1, 2023
W-2 Managing Employee Jan 1, 2023
William L Mimeles
Individual 		Corporate Director Apr 30, 2009
Gregory C Feirn
Individual 		W-2 Managing Employee May 1, 2014
Susan Johnson
Individual 		Corporate Director Apr 30, 2009
Julie L George
Individual 		Corporate Director Apr 30, 2009
Henry Matthew Peltier
Individual 		Corporate Director Mar 29, 2018
Mark W Kline
Individual 		W-2 Managing Employee May 27, 2021
Pinki K Prasad
Individual 		Corporate Director Mar 25, 2021
Stephen Hales
Individual 		Corporate Director Apr 30, 2009
Kaylea Hill
Individual 		Corporate Director May 23, 2019
Louis Lauricella
Individual 		Corporate Director May 27, 2017
Kenneth Beer
Individual 		Corporate Director Apr 30, 2009

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090731000249 LA Part a Provider - Hospital 3971401944 Practice locations: Metairie, LA; Slidell, LA; New Orleans, LA; Covington, LA; Destrehan, LA; Laplace, LA; Marrero, LA

National Provider Directory

Tax ID family
Childrens Hospital (10 organizations share this tax ID)

Locations

5024 Keystone Blvd
Covington, LA 70433

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

2121 Ridgelake Dr
Fl 1
Metairie, LA 70001

2121 Ridgelake Dr
#1
Metairie, LA 70001

210 State St
Bldg 11
New Orleans, LA 70118

517 Fifth Ave
Picayune, MS 39466
Phone (601) 798-1512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 256 LA Yes

Addresses

Primary practice location

200 Henry Clay Ave
New Orleans, LA 70118-5720

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9511

Other identifiers

IdentifierTypeStateIssuer
1734489MedicaidLA

Other providers in New Orleans, LA

All providers in New Orleans, LA · Children's Hospital in Louisiana

Sources for this page

Verify at the official NPI Registry.